Organization
FORMULA-DEPOT INC.
Active
Organization
FORMULA-DEPOT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL KAUFMAN (OWNER)
(917) 863-2775
Entity
Organization
Contact information
Practice address
807 BANK ST, BROOKLYN, NY 11236-2241
(516) 226-8060
Mailing address
1521 E 32ND ST, BROOKLYN, NY 11234-3403
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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