Provider Demographics
NPI:1063490746
Name:TONY DOCTOR WHEELCHAIR, INC.
Entity Type:Organization
Organization Name:TONY DOCTOR WHEELCHAIR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:SILVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-418-2000
Mailing Address - Street 1:3822 31ST ST
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-2719
Mailing Address - Country:US
Mailing Address - Phone:718-418-2000
Mailing Address - Fax:718-326-1400
Practice Address - Street 1:38-22 31ST ST
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-2719
Practice Address - Country:US
Practice Address - Phone:718-418-2000
Practice Address - Fax:718-326-1400
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME MEDICAL SPECIALTIES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-04
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0375950001Medicare NSC