Provider Demographics
NPI:1255685715
Name:METROPOLITAN HOME MEDICAL SUPPLY
Entity Type:Organization
Organization Name:METROPOLITAN HOME MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-282-6936
Mailing Address - Street 1:165 COURT ST
Mailing Address - Street 2:SUITE #305
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4345
Mailing Address - Country:US
Mailing Address - Phone:845-282-6936
Mailing Address - Fax:
Practice Address - Street 1:165 COURT ST
Practice Address - Street 2:SUITE #305
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4345
Practice Address - Country:US
Practice Address - Phone:845-282-6936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies