Provider Demographics
NPI:1235637083
Name:BRIDAN MEDICAL SUPPLY SERVICES INC.
Entity Type:Organization
Organization Name:BRIDAN MEDICAL SUPPLY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:MIRLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MONSALVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-366-9882
Mailing Address - Street 1:65 GASTON AVE
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-1205
Mailing Address - Country:US
Mailing Address - Phone:786-366-9882
Mailing Address - Fax:
Practice Address - Street 1:3109 NEWTOWN AVE STE 211B
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-1373
Practice Address - Country:US
Practice Address - Phone:973-859-0721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-26
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies