Organization
GREENWAY MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VLADIMIR NAZAROV (CEO)
(718) 303-8998
Entity
Organization
Contact information
Practice address
2570 86TH ST, 1ST FLOOR, BROOKLYN, NY 11214-4438
(718) 303-8998
Mailing address
2570 86TH ST, 1ST FLOOR, BROOKLYN, NY 11214-4438
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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