| NPI | 1750326278 |
|---|---|
| Former Legal Business Name | MAX MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | OLGA KUSHMAKOVA President 718-779-1635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2022-07-21 |