Provider Demographics
NPI:1578254934
Name:AXIS DME INC
Entity Type:Organization
Organization Name:AXIS DME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLLECITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-782-5389
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-0037
Mailing Address - Country:US
Mailing Address - Phone:516-782-5389
Mailing Address - Fax:516-706-3900
Practice Address - Street 1:2 LAWSON AVE UNIT 4
Practice Address - Street 2:
Practice Address - City:EAST ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11518-1700
Practice Address - Country:US
Practice Address - Phone:516-782-5389
Practice Address - Fax:516-706-3900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies