Provider Demographics
NPI:1114192341
Name:MCRS CORPORATION
Entity Type:Organization
Organization Name:MCRS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:N
Authorized Official - Last Name:SITNIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-392-4216
Mailing Address - Street 1:9050 UNION TPKE APT 8K
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-8064
Mailing Address - Country:US
Mailing Address - Phone:347-392-4216
Mailing Address - Fax:
Practice Address - Street 1:9050 UNION TPKE APT 8K
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385-8064
Practice Address - Country:US
Practice Address - Phone:347-392-4216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1279855332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1279855OtherDCA