Organization
REHAB SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D BULMAN (OWNER/MANAGING EMPLOYEE)
(607) 584-5560
Entity
Organization
Contact information
Practice address
341 WYOMING AVE STE 1, WEST PITTSTON, PA 18643-2839
(570) 602-1069
(570) 602-1069
Mailing address
17 CHARLES ST, BINGHAMTON, NY 13905-2272
(607) 584-5560
(607) 584-5561
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02708818
—
NY
01
—
1215958202
NPI
—
Enumeration date
10/13/2009
Last updated
10/05/2010
Update your record
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