Provider Demographics
NPI:1326222134
Name:SPECIALTY FITTINGS, INC.
Entity Type:Organization
Organization Name:SPECIALTY FITTINGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MOWRY
Authorized Official - Suffix:
Authorized Official - Credentials:CMF, MSED
Authorized Official - Phone:845-214-1850
Mailing Address - Street 1:P.O. BOX 1608
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-3947
Mailing Address - Country:US
Mailing Address - Phone:845-214-1850
Mailing Address - Fax:845-214-1855
Practice Address - Street 1:21 READE PL
Practice Address - Street 2:FL 2
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3912
Practice Address - Country:US
Practice Address - Phone:845-214-1850
Practice Address - Fax:845-214-1855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-28
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6342820001Medicare NSC