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1851516736
MODERN IMAGE OF NY
BROOKLYN, NY
NPI
1851516736
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Entity Type
Organization
Authorized Contact
RAISA EVANS
Pres.
718-996-9088
Organization Subpart ?
No
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2007-04-16
Last Update Date
2009-09-18
Business Address
MODERN IMAGE OF NY
2965 OCEAN PKWY 507
BROOKLYN, NY 11235-8014
Phone number: 718-996-9088
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Mailing Address
MODERN IMAGE OF NY
2965 OCEAN PKWY 507
BROOKLYN, NY 11235-8014
Phone number: 718-996-9088
Copy
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