Organization · NPI-2

Tradition Medical Supply, INC.

Durable Medical Equipment & Medical Supplies · Stony Brook, NY

NPI number1699007013
StatusActive
Last updated in NPPESFeb 10, 2010

Details

NPI
1699007013
Entity type
Organization (NPI-2)
Legal business name
Tradition Medical Supply, INC.
Organization subpart
No
Enumeration date
Feb 10, 2010
Last updated
Feb 10, 2010

Taxonomy and licenses

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

Practice location

29 Seward Ln
Stony Brook, NY 11790-3108

Phone 631-742-0846

Mailing address

29 Seward Ln
Stony Brook, NY 11790-3108

Phone 631-742-0846

Authorized official

Kathleen Higgins
Cfo
6317420846

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