| NPI | 1134569163 |
|---|---|
| Doing Business As | EVITAS MEDICAL AND SURGICAL SUPPLIES LLC |
| Entity Type | Organization |
| Authorized Contact | EVITA C FRANK RN 718-341-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 272205) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NY 272205) |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies (Licence: NY 272205) | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: NY 272205) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NY 272205) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NY 272205) | |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2013-07-05 |