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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