Provider Demographics
NPI:1407982945
Name:REAF INTERNATIONAL CORP.
Entity Type:Organization
Organization Name:REAF INTERNATIONAL CORP.
Other - Org Name:CARDINAL MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TONEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ORUBULOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-316-1100
Mailing Address - Street 1:1405 AMSTERDAM AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-7435
Mailing Address - Country:US
Mailing Address - Phone:212-316-1100
Mailing Address - Fax:
Practice Address - Street 1:1405 AMSTERDAM AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-7435
Practice Address - Country:US
Practice Address - Phone:212-316-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1248276332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5914800001Medicare NSC