Organization
SMILE MEDICAL SUPPLY INC
Active
Organization
SMILE MEDICAL SUPPLY INC
Active
Other names
Smile Medical Supply Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN GAVRILOV (PRESIDENT)
(929) 251-8000
Entity
Organization
Contact information
Practice address
1344 SAINT NICHOLAS AVE APT 1, NEW YORK, NY 10033-7254
(929) 251-8000
(929) 251-7000
Mailing address
1344 SAINT NICHOLAS AVE APT 1, NEW YORK, NY 10033-7254
(929) 251-8000
(929) 251-7000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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