Organization
SLON MEDICAL INSTRUMENT LLC
Active
Organization
SLON MEDICAL INSTRUMENT LLC
Active
Other names
Slon Medical Instrument LLC
Organization subpart
No
Provider details
NPI number
Authorized official
INNA ITSKOVA (PRESIDENT)
(718) 287-9553
Entity
Organization
Contact information
Practice address
2550 W 13TH ST, BROOKLYN, NY 11223-5813
(718) 287-9553
(718) 287-9561
Mailing address
2550 W 13TH ST, BROOKLYN, NY 11223-5813
(718) 287-9553
(718) 287-9561
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5803867
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/22/2005
Last updated
08/24/2022
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