Organization
JR SPORTING GOODS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANJEEV KUMAR RAHULL (AUTHORIZED OFFICIAL)
(786) 827-0942
Entity
Organization
Contact information
Practice address
24736 JERICHO TPKE, FLORAL PARK, NY 11001-4001
(786) 827-0942
Mailing address
24736 JERICHO TPKE, FLORAL PARK, NY 11001-4001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/14/2026
Last updated
05/14/2026
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