Provider Demographics
NPI:1043663909
Name:NY DME CONSULTANTS LLC
Entity Type:Organization
Organization Name:NY DME CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:AFFENITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-680-0433
Mailing Address - Street 1:285 SILLS RD
Mailing Address - Street 2:BLDG 4 STE B
Mailing Address - City:EAST PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-4869
Mailing Address - Country:US
Mailing Address - Phone:516-680-0433
Mailing Address - Fax:877-366-5492
Practice Address - Street 1:285 SILLS RD
Practice Address - Street 2:BLDG 4 STE B
Practice Address - City:EAST PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-4869
Practice Address - Country:US
Practice Address - Phone:516-680-0433
Practice Address - Fax:877-366-5492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-15
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier