Edwin Dhall
Durable Medical Equipment & Medical Supplies, Customized Equipment in Brentwood, NY. Individual provider (NPI-1).
NPI number1760802490
StatusActive
Last updated in NPPESApr 21, 2014
Details
- NPI
- 1760802490
- Entity type
- Individual (NPI-1)
- Name
- Edwin Dhall
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 21, 2014
- Last updated
- Apr 21, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | c13-26498 | NY | Yes |
Practice location
712 BroadwayBrentwood, NY 11717-6922
Phone 631-456-8854 · Fax 631-561-4245
Mailing address
712 BroadwayBrentwood, NY 11717-6922
Phone 631-456-8854 · Fax 631-561-4245
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