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Momentstore LLC

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

NPI number1104745405
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1104745405
Entity type
Organization (NPI-2)
Legal business name
Momentstore LLC
Organization subpart
No
Enumeration date
Jul 13, 2026
Certification date
Jul 13, 2026
Last updated
Jul 13, 2026

Taxonomy and licenses

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

Practice location

17860 Wexford Ter Apt 1e
Jamaica, NY 11432-3018

Phone 456-456-4564

Mailing address

17860 Wexford Ter Apt 1e
Jamaica, NY 11432-3018

Authorized official

Muhammad Qayyum
Ceo
4564564564

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