Provider Demographics
NPI:1093155228
Name:ASSIST MEDICAL SUPPLY
Entity Type:Organization
Organization Name:ASSIST MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:VAINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-662-9123
Mailing Address - Street 1:119 W 72ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3201
Mailing Address - Country:US
Mailing Address - Phone:646-662-9123
Mailing Address - Fax:718-499-0992
Practice Address - Street 1:119 W 72ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-3201
Practice Address - Country:US
Practice Address - Phone:646-662-9123
Practice Address - Fax:718-499-0992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies