Organization · Type 2 NPI

Revival Durable Medical Equipment Inc

Customized Equipment (DME) · Flushing, NY

NPI number 1003247297 Active

Practice location

136-69 41AVE 1FL
Flushing, NY 11355-2433

Fax (718) 888-9154

Mailing address

136-69 41st Ave 1FL
Flushing, NY 11355-2433

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200X1462251 (NY)

Customized Equipment (DME): Definition to come...

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About NPI 1003247297

Revival Durable Medical Equipment Inc's National Provider Identifier is 1003247297, issued on Dec 12, 2013. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Flushing, NY. The record was last updated on Aug 20, 2014.