Provider Demographics
NPI:1578880696
Name:FAITH MEDICAL SUPPLY
Entity Type:Organization
Organization Name:FAITH MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONNY
Authorized Official - Middle Name:MARVIN
Authorized Official - Last Name:PYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-468-7635
Mailing Address - Street 1:1781 E 92ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-5407
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1722 UNION ST
Practice Address - Street 2:SUITE 3B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-5061
Practice Address - Country:US
Practice Address - Phone:646-468-7635
Practice Address - Fax:646-385-7967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies