Organization
BATH AVE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKHAIL STRUZBERG (OWNER)
(347) 374-4928
Entity
Organization
Contact information
Practice address
1551 BATH AVE, BROOKLYN, NY 11228-3822
(347) 374-4928
Mailing address
1551 BATH AVE, BROOKLYN, NY 11228-3822
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
10/27/2020
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