Organization
INDEPENDENT FORMULA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSEMARY NUNEZ (PRESIDENT)
(718) 801-4331
Entity
Organization
Contact information
Practice address
558 E 181ST ST APT 10L, BRONX, NY 10457-1658
(718) 801-4331
Mailing address
558 E 181ST ST APT 10L, BRONX, NY 10457-1658
(718) 801-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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