NPI 1033430418

Revolution Medical Supply

Organisation Oxygen Equipment & Supplies (DME) Bronx, NY

Practice location

Address: 994 E 180th St Suite #4f, Bronx, NY 10460-2248
Phone: (469) 348-6910
Mailing address: PO Box 494333, Garland, TX 75049-4333

Authorised official

Name: Nduka Nduka
Title: Owner
Phone: (469) 348-6910

Registered specialties

Oxygen Equipment & Supplies (DME) Primary

Suppliers Taxonomy 332BX2000X Licence 13417795909700 (NY)

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Registry record

NPI: 1033430418
Entity type: Organization
NPI issued: 19 Jun 2010
Record last updated: 27 Jul 2010

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.