Organization
SIMPLY DIVINE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILLIEN K DURRANT (PRESIDENT)
(347) 405-9182
Entity
Organization
Contact information
Practice address
3614 CHURCH AVE, BROOKLYN, NY 11203-3686
(347) 405-9182
(888) 328-0487
Mailing address
3614 CHURCH AVE, BROOKLYN, NY 11203-3686
(347) 405-9182
(888) 328-0487
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
Other
Enumeration date
03/05/2012
Last updated
06/21/2019
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