Provider Demographics
NPI:1235446345
Name:DALMAR4
Entity Type:Organization
Organization Name:DALMAR4
Other - Org Name:EQUIP-TO-CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:C
Authorized Official - Last Name:TIFFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-722-2245
Mailing Address - Street 1:303 CONKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13903-2450
Mailing Address - Country:US
Mailing Address - Phone:607-722-2245
Mailing Address - Fax:607-722-2243
Practice Address - Street 1:303 CONKLIN AVE
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13903-2450
Practice Address - Country:US
Practice Address - Phone:607-722-2245
Practice Address - Fax:607-722-2243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-10
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6940360001Medicare NSC