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Organization

PACE MEDICAL SUPPLY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RYAN ANTHONY STEWART (OWNER)
(718) 484-8315
Entity
Organization

Contact information

Practice address
1782 NOSTRAND AVE, BROOKLYN, NY 11226-7137
(718) 484-8315
(718) 484-8316
Mailing address
1782 NOSTRAND AVE, BROOKLYN, NY 11226-7137
(718) 484-8315
(718) 484-8316

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1446447
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06602139
NY
Enumeration date
11/05/2012
Last updated
09/23/2021
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