| NPI | 1629623210 |
|---|---|
| Doing Business As | ELITE MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | MIKE KOSTYLEV President 347-414-5700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2022-03-06 |