Organization
OSA-VA-NETWORK-NC-SC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY WHITE BROWN DDS (MEDICAL DIRECTOR)
(516) 640-7401
Entity
Organization
Contact information
Practice address
224 ONEIL CT, COLUMBIA, SC 29223-7649
(803) 306-6451
Mailing address
2437 ROCKVILLE CENTRE PKWY, OCEANSIDE, NY 11572-1622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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