Provider Demographics
NPI:1114367349
Name:METROPOLITAN HOME SUPPLY
Entity Type:Organization
Organization Name:METROPOLITAN HOME SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IBRAHIMA
Authorized Official - Middle Name:K
Authorized Official - Last Name:DIALLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-636-1552
Mailing Address - Street 1:82 NASSAU ST
Mailing Address - Street 2:#339
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-3703
Mailing Address - Country:US
Mailing Address - Phone:347-636-1552
Mailing Address - Fax:
Practice Address - Street 1:82 NASSAU ST
Practice Address - Street 2:#339
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-3703
Practice Address - Country:US
Practice Address - Phone:347-636-1552
Practice Address - Fax:
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