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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHEAL JONES (PRESIDENT)
(646) 492-2583
Entity
Organization

Contact information

Practice address
165 COURT ST, SUITE #305, BROOKLYN, NY 11201-4345
(646) 492-2583
Mailing address
165 COURT ST, SUITE #305, BROOKLYN, NY 11201-4345
(646) 492-2583

Taxonomy

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

Other

Enumeration date
11/27/2012
Last updated
11/27/2012
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