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Organization

FREEDOM STAR MEDICAL SUPPLIES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISHI GOLENIA (PRESIDENT/CEO)
(516) 513-5118
Entity
Organization

Contact information

Practice address
6111 MENAHAN ST, RIDGEWOOD, NY 11385-2627
(516) 513-5118
Mailing address
6111 MENAHAN ST, RIDGEWOOD, NY 11385-2627
(516) 513-5118

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
07/20/2013
Last updated
07/20/2013
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