Organization
MOUNT OLIVE DME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL MIZRAHI (MANAGER)
(516) 487-5044
Entity
Organization
Contact information
Practice address
68 HAWTHORNE ST APT 2, BROOKLYN, NY 11225-5763
(516) 487-5044
(516) 487-5043
Mailing address
68 HAWTHORNE ST APT 2, BROOKLYN, NY 11225-5763
(516) 487-5044
(516) 487-5043
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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