Provider Demographics
NPI:1477910925
Name:MEDIPRINT LLC
Entity Type:Organization
Organization Name:MEDIPRINT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & CHIEF ENGINEER
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-863-9557
Mailing Address - Street 1:152 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-2116
Mailing Address - Country:US
Mailing Address - Phone:845-863-9557
Mailing Address - Fax:
Practice Address - Street 1:152 MAIN ST
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-2116
Practice Address - Country:US
Practice Address - Phone:845-863-9557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-27
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment