Organization
LONG ISLAND RESPIRATORY SERVICES, INC.
Active
Other names
Ultra Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M. GVODAS JR. (PRESIDENT)
(610) 630-6357
Entity
Organization
Contact information
Practice address
1685 E 21ST ST, BROOKLYN, NY 11210-5037
(516) 764-3856
(516) 764-3859
Mailing address
122 MILL RD, SUITE A130, PHOENIXVILLE, PA 19460-1413
(610) 630-6357
(610) 630-8319
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01093181
—
NY
Enumeration date
08/25/2006
Last updated
04/29/2015
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