Organization
SANDRA MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FLORA FIKSMAN (PRESIDENT)
(347) 492-7717
Entity
Organization
Contact information
Practice address
2177 72ND ST, BROOKLYN, NY 11204-6002
(347) 492-7717
(347) 492-7718
Mailing address
2177 72ND ST, BROOKLYN, NY 11204-6002
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04862979
—
NY
Enumeration date
11/21/2016
Last updated
06/01/2021
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