EDWIN DHALL

BRENTWOOD, NY
NPI1760802490
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment
(Licence: NY  C13-26498)
Enumeration Date2014-04-21
Last Update Date2014-04-21
Business Address
EDWIN DHALL
712 BROADWAY
BRENTWOOD, NY 11717-6922
Phone number: 631-456-8854
Mailing Address
EDWIN DHALL
712 BROADWAY
BRENTWOOD, NY 11717-6922
Phone number: 631-456-8854