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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