Organization · Type 2 NPI

Myrtle Avenue Trading LLC

Customized Equipment (DME) · Glendale, NY

NPI number 1669995007 Active

Practice location

7611 Myrtle Ave
Glendale, NY 11385-7446

Fax (646) 968-9971

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200X2050808-DCA (NY)

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

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About NPI 1669995007

Myrtle Avenue Trading LLC's National Provider Identifier is 1669995007, issued on Jul 18, 2017. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Glendale, NY. The record was last updated on Oct 2, 2024.