Organization
EVERGREEN DME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES KOO (PRESIDENT)
(718) 321-2112
Entity
Organization
Contact information
Practice address
251 E 5TH ST, 131, BROOKLYN, NY 11218-2403
(718) 338-6300
Mailing address
150 OCEAN PKWY, STE 131, BROOKLYN, NY 11218-2481
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/20/2013
Last updated
07/09/2013
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