Organization
LIFELINE MEDICAL SUPPLY
Active
Organization
LIFELINE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAKA ISAAC EROJE MD (DIRECTOR)
(646) 702-7518
Entity
Organization
Contact information
Practice address
1802 ROCKAWAY PKWY, BROOKLYN, NY 11236-5006
(646) 702-7518
Mailing address
1802 ROCKAWAY PKWY, BROOKLYN, NY 11236-5006
(646) 702-7518
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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