Organization
WOODHULL MEDICAL SUPPLIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ULYANA JULIE SHADRIN CPED (OWNER)
(718) 599-6700
Entity
Organization
Contact information
Practice address
57 EAST 124TH STREET, NEW YORK, NY 10035-1815
(212) 410-8483
(212) 410-8485
Mailing address
267B HERITAGE HLS, SOMERS, NY 10589-1227
(917) 324-3032
(718) 599-6709
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02933764
—
NY
Enumeration date
06/04/2006
Last updated
03/24/2022
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