Provider Demographics
NPI:1528392388
Name:MEIK MEDICAL EQUIPMENT AND SUPPLY, LLC
Entity Type:Organization
Organization Name:MEIK MEDICAL EQUIPMENT AND SUPPLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IKECHUKWU
Authorized Official - Middle Name:
Authorized Official - Last Name:UDEOKORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-270-9004
Mailing Address - Street 1:1363 WEBSTER AVE
Mailing Address - Street 2:STORE D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-1887
Mailing Address - Country:US
Mailing Address - Phone:203-414-9192
Mailing Address - Fax:347-270-9005
Practice Address - Street 1:1363 WEBSTER AVE
Practice Address - Street 2:STORE D
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-1887
Practice Address - Country:US
Practice Address - Phone:203-414-9192
Practice Address - Fax:347-270-9005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-28
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6389230001Medicare NSC