Provider Demographics
NPI:1528385960
Name:ALLSTATE MEDICAL SUPPLIES, LLC
Entity Type:Organization
Organization Name:ALLSTATE MEDICAL SUPPLIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:LINDA
Authorized Official - Last Name:SANGIOVANNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-652-7055
Mailing Address - Street 1:3179 ERIE BLVD E STE 160
Mailing Address - Street 2:
Mailing Address - City:DE WITT
Mailing Address - State:NY
Mailing Address - Zip Code:13214-1201
Mailing Address - Country:US
Mailing Address - Phone:732-657-5060
Mailing Address - Fax:
Practice Address - Street 1:3179 ERIE BLVD E STE 160
Practice Address - Street 2:
Practice Address - City:DE WITT
Practice Address - State:NY
Practice Address - Zip Code:13214-1201
Practice Address - Country:US
Practice Address - Phone:732-657-5060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies