Grand Avenue Services INC

NPI #1629896378 in Maspeth, New York

Provider Information

NPI Number
1629896378
Entity Type
Organization
Organization Name
Grand Avenue Services INC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Oct 1, 2024
Last Updated
Oct 1, 2024

Practice Location

Address
6543 GRAND AVE
ZIP Code
11378-2462
Phone
(917) 567-4708

Authorized Official

Name
MR. IGOR RACHMANOV
Title
PRESIDENT
Phone
(917) 567-4708

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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