Provider Demographics
NPI:1194865600
Name:Y & T MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:Y & T MEDICAL SUPPLIES INC
Other - Org Name:Y & T MEDICAL SUPPLIES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEON
Authorized Official - Middle Name:
Authorized Official - Last Name:KRISHTUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-587-4999
Mailing Address - Street 1:205 SEA BREEZE AVENUE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224
Mailing Address - Country:US
Mailing Address - Phone:347-587-4999
Mailing Address - Fax:347-587-4998
Practice Address - Street 1:205 SEA BREEZE AVENUE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224
Practice Address - Country:US
Practice Address - Phone:347-587-4999
Practice Address - Fax:347-587-4998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02188365Medicaid
NY02188365Medicaid
NY1275680001Medicare NSC