Provider Demographics
NPI:1538481114
Name:AAA ELITE MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:AAA ELITE MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-206-8680
Mailing Address - Street 1:1839 CENTRAL AVENUE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-4748
Mailing Address - Country:US
Mailing Address - Phone:518-459-0000
Mailing Address - Fax:518-459-2420
Practice Address - Street 1:1839 CENTRAL AVENUE
Practice Address - Street 2:SUITE 1
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-4748
Practice Address - Country:US
Practice Address - Phone:518-459-0000
Practice Address - Fax:518-459-2420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-23
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03338667Medicaid
NY03338667Medicaid