Organization
ISLAND STYLEZ ON WHEELEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHEA SAMUELS SPECIALIST (OWNER)
(718) 404-4738
Entity
Organization
Contact information
Practice address
3235 101ST ST, EAST ELMHURST, NY 11369-2509
(710) 404-4738
Mailing address
3235 101ST ST, EAST ELMHURST, NY 11369-2509
(710) 404-4738
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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