New Life Van, Auto and Truck Modification

NPI #1922351287 in Sparrow Bush, New York

Provider Information

NPI Number
1922351287
Entity Type
Organization
Organization Name
New Life Van, Auto and Truck Modification
Subpart
Yes (part of a larger organization)
Parent Organization
NEW LIVE VAN, AUTO AND TRUCK MODIFICATION
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Oct 23, 2012
Last Updated
Oct 23, 2012

Practice Location

Address
971 STATE ROUTE 42
ZIP Code
12780-5014
Phone
(845) 361-1244

Authorized Official

Name
MRS. PAMELA SUE BURNS
Title
PRESIDENT
Phone
(845) 361-1244

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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