Organization
COASTAL MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKAS PELLIZZI (CEO)
(516) 695-0875
Entity
Organization
Contact information
Practice address
140 UNQUA RD, MASSAPEQUA, NY 11758-7519
(516) 695-0875
Mailing address
140 UNQUA RD, MASSAPEQUA, NY 11758-7519
(516) 695-0875
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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