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Organization

ULTRA MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EZRIEL UNGAR (CONTROLLER)
(718) 796-7555
Entity
Organization

Contact information

Practice address
2022 FILMORE AVE, #26, ERIE, PA 16506-2978
(718) 796-7555
(516) 566-2395
Mailing address
2022 FILMORE AVE, #26, ERIE, PA 16506-2978
(718) 796-7555
(516) 566-2395

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1466586
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1028914120001
PA
Enumeration date
09/02/2014
Last updated
09/02/2014
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