Eliot Ave Med Supplies Corp
NPI #1770078156 in Middle Village, New York
Provider Information
- NPI Number
- 1770078156
- Entity Type
- Organization
- Organization Name
- Eliot Ave Med Supplies Corp
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 27, 2018
- Last Updated
- Jun 27, 2018
Practice Location
- Address
- 8214 ELIOT AVE
- City
- Middle Village
- State
- New York
- ZIP Code
- 11379-1437
- Phone
- (718) 787-5577
Authorized Official
- Name
- SAMION AMINOV
- Title
- PRESIDENT
- Phone
- (718) 787-5577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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