NPI 1003247297
Revival Durable Medical Equipment INC
Practice location
- Address
- 136-69 41ave 1fl, Flushing, NY 11355-2433
- Phone
- (718) 888-1535
- Fax
- (718) 888-9154
- Mailing address
- 136-69 41st Ave 1fl, Flushing, NY 11355-2433
Authorised official
- Name
- Eunice K Park
- Title
- President
- Phone
- (201) 625-2723
Registered specialties
Customized Equipment (DME)
Primary
Registry record
- NPI
- 1003247297
- Entity type
- Organization
- NPI issued
- 12 Dec 2013
- Record last updated
- 20 Aug 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.