Provider Demographics
NPI:1184821175
Name:PROGRESSIVE INDUSTRIES, INC.
Entity Type:Organization
Organization Name:PROGRESSIVE INDUSTRIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-485-9803
Mailing Address - Street 1:70 OVEROCKER RD
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-2035
Mailing Address - Country:US
Mailing Address - Phone:845-471-0703
Mailing Address - Fax:845-485-5234
Practice Address - Street 1:70 OVEROCKER RD
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-2035
Practice Address - Country:US
Practice Address - Phone:845-471-0703
Practice Address - Fax:845-485-5234
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REHAB PROGRAMS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-02
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6034490002Medicare NSC