Ozone Park Supply INC
NPI #1497353221 in Ozone Park, New York
Provider Information
- NPI Number
- 1497353221
- Entity Type
- Organization
- Organization Name
- Ozone Park Supply INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 14, 2020
- Last Updated
- Oct 14, 2020
Practice Location
- Address
- 9718 101ST AVE
- City
- Ozone Park
- State
- New York
- ZIP Code
- 11416-2561
- Phone
- (917) 375-3439
Authorized Official
- Name
- MICHAEL BORUKHOV
- Title
- AUTHORIZED PERSON
- Phone
- (917) 375-3439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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