Tri State Medical Supply Co LLC
NPI #1194365486 in Fort Lee, New Jersey
Provider Information
- NPI Number
- 1194365486
- Entity Type
- Organization
- Organization Name
- Tri State Medical Supply Co LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 14, 2020
- Last Updated
- Jan 14, 2020
Practice Location
- Address
- 2035 LEMOINE AVE STE 203
- City
- Fort Lee
- State
- New Jersey
- ZIP Code
- 07024-5704
- Phone
- (718) 614-0700
Authorized Official
- Name
- PYONG YUN
- Title
- COO
- Phone
- (718) 614-0700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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