Bolivar Placencia - Brooklyn, NY

Bolivar Placencia

Durable Medical Equipment & Medical Supplies in Brooklyn, New York

NPI 1003570821

Bolivar Placencia is a Durable Medical Equipment & Medical Supplies based in Brooklyn, NY. Bolivar Placencia practices in Brooklyn, NY. The NPI Number for Bolivar Placencia is 1003570821 and holds a License No. 3150229 (New York).

The current practice location address for Bolivar Placencia is 588 Ridgewood Ave, Brooklyn, NY and can be reached out via phone at 646-407-0095.

Location: 588 Ridgewood Ave, Brooklyn, NY, 11208-1834

NPI Number

1003570821

Provider Name

Bolivar Placencia

Credential

Provider Entity Type

Individual

Gender

Male

Address

588 Ridgewood Ave, Brooklyn, NY, 11208-1834

Phone Number

646-407-0095

Fax Number

Provider Enumeration Date

10/27/2021

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
3150229	01	NY	DCA LICENSE

Address

588 Ridgewood Ave

City

Brooklyn

State

New York

Zip

11208-1834

Phone Number

646-407-0095

Fax Number

Address

588 Ridgewood Ave

City

Brooklyn

State

New York

Zip

11208-1834

Phone Number

646-407-0095

Fax Number

Type

Suppliers

Classification

Durable Medical Equipment & Medical Supplies

Speciality

Taxonomy

332B00000X

License No.

3150229 (New York)

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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