Provider Demographics
NPI:1407364680
Name:TRI STATE MEDICAL SALES CONSULTANTS INC.
Entity Type:Organization
Organization Name:TRI STATE MEDICAL SALES CONSULTANTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUKLIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-925-5843
Mailing Address - Street 1:200 ROBBINS LN UNIT D3
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-2341
Mailing Address - Country:US
Mailing Address - Phone:888-925-5843
Mailing Address - Fax:516-597-5108
Practice Address - Street 1:200 ROBBINS LN UNIT D3
Practice Address - Street 2:
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753-2341
Practice Address - Country:US
Practice Address - Phone:888-925-5843
Practice Address - Fax:516-597-5108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-22
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332B00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies