| NPI | 1760247704 |
|---|---|
| Doing Business As | MEDI SOURCE MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | AARON MOSHEYEV Owner 646-269-0989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-10-20 |