person
Edwin Dhall
Customized Equipment (DME) in Brentwood, New York
NPI 1760802490

Edwin Dhall is a Customized Equipment (DME) based in Brentwood, NY and is specialized in Customized Equipment. Edwin Dhall practices in Brentwood, NY. The NPI Number for Edwin Dhall is 1760802490 and holds a License No. C13-26498 (New York).

The current practice location address for Edwin Dhall is 712 Broadway, Brentwood, NY and can be reached out via phone at 631-456-8854 and via fax at 631-561-4245.

Location: 712 Broadway, Brentwood, NY, 11717-6922
person
Provider Profile Details
NPI Number
1760802490
Provider Name
Edwin Dhall
Credential
Provider Entity Type
Individual
Gender
Female
Address
712 Broadway, Brentwood, NY, 11717-6922
Phone Number
631-456-8854
Fax Number
631-561-4245
Provider Enumeration Date
04/21/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
352479821 01 NY HMO
institution
Provider Business Practice Location Address Details
Address
712 Broadway
City
State
Zip
11717-6922
Phone Number
631-456-8854
Fax Number
631-561-4245
person
Provider Business Mailing Address Details
Address
712 Broadway
City
State
Zip
11717-6922
Phone Number
631-456-8854
Fax Number
631-561-4245
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
C13-26498 (New York)
Definition
Definition to come...
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