Provider Demographics
NPI:1326327040
Name:US MEDICAL SUPPLY LLC
Entity Type:Organization
Organization Name:US MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:585-760-4512
Mailing Address - Street 1:PO BOX 376
Mailing Address - Street 2:
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526-0376
Mailing Address - Country:US
Mailing Address - Phone:585-760-4512
Mailing Address - Fax:315-538-8099
Practice Address - Street 1:621 SMUGGLERS COVE
Practice Address - Street 2:
Practice Address - City:MACECDON
Practice Address - State:NY
Practice Address - Zip Code:14502
Practice Address - Country:US
Practice Address - Phone:585-760-4512
Practice Address - Fax:585-544-3884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-11
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008930-1332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies