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Organization

PRIME HEALTH MEDICAL SUPPLIES

Active
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Organization

PRIME HEALTH MEDICAL SUPPLIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELLA ABUBAKAR (OPS MRG)
(718) 446-2300
Entity
Organization

Contact information

Practice address
8916 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7857
(718) 446-2300
(718) 446-2303
Mailing address
8916 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7857
(718) 446-2300
(718) 446-2303

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BC3200X
Customized Equipment (DME)
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)

Other

Enumeration date
03/08/2018
Last updated
03/08/2018
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