Organization
BAYSIDE SUPPLY I INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY SUYUNOV (PRESIDENT)
(347) 968-9411
Entity
Organization
Contact information
Practice address
22421 UNION TPKE, BAYSIDE, NY 11364-3631
(347) 968-9411
Mailing address
22421 UNION TPKE, BAYSIDE, NY 11364-3631
(347) 968-9411
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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