Provider Demographics
NPI:1417218827
Name:ABILITIES UNLIMITED OF N.Y.
Entity Type:Organization
Organization Name:ABILITIES UNLIMITED OF N.Y.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-254-4031
Mailing Address - Street 1:90 E. JEFRYN BLVD.,
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:90 E. JEFRYN BLVD.
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729
Practice Address - Country:US
Practice Address - Phone:631-254-4031
Practice Address - Fax:631-254-1031
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABILITIES UNLIMITED OF N.Y
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-06-01
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment