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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
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