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Crown Care Supply Corp

Durable Medical Equipment & Medical Supplies in Staten Island, NY. Organization (NPI-2).

NPI number1023914744
StatusActive
Last updated in NPPESOct 19, 2026

Details

NPI
1023914744
Entity type
Organization (NPI-2)
Legal business name
Crown Care Supply Corp
Organization subpart
No
Enumeration date
Oct 19, 2026
Certification date
Oct 19, 2026
Last updated
Oct 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

1457 Castleton Ave
Staten Island, NY 10302-1523

Phone 332-251-1947

Mailing address

1457 Castleton Ave
Staten Island, NY 10302-1523

Phone 718-269-4709 · Fax 203-516-9316

Authorized official

Ilona Masheyeva
President
3322511947

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