Revival Durable Medical Equipment INC

NPI #1003247297 in Flushing, New York

Provider Information

NPI Number: 1003247297
Entity Type: Organization
Organization Name: Revival Durable Medical Equipment INC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Dec 12, 2013
Last Updated: Aug 20, 2014

Practice Location

Address: 136-69 41AVE 1FL
City: Flushing
State: New York
ZIP Code: 11355-2433
Phone: (718) 888-1535

Authorized Official

Name: MRS. EUNICE K PARK
Title: PRESIDENT
Phone: (201) 625-2723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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