Provider Demographics
NPI:1154648822
Name:REAL CARE MEDICAL & SURGICAL SUPPLIES
Entity Type:Organization
Organization Name:REAL CARE MEDICAL & SURGICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MALKY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-869-3083
Mailing Address - Street 1:266 BROADWAY STE 602
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-6499
Mailing Address - Country:US
Mailing Address - Phone:718-305-6700
Mailing Address - Fax:718-305-6824
Practice Address - Street 1:266 BROADWAY SUITE 602
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211
Practice Address - Country:US
Practice Address - Phone:718-305-6700
Practice Address - Fax:718-305-6824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies