Provider Demographics
NPI:1598948143
Name:ALL IN ONE DME SUPPLIER INC
Entity Type:Organization
Organization Name:ALL IN ONE DME SUPPLIER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:EKIMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-381-2290
Mailing Address - Street 1:451 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-8300
Mailing Address - Country:US
Mailing Address - Phone:718-381-2290
Mailing Address - Fax:718-307-6403
Practice Address - Street 1:451 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-8300
Practice Address - Country:US
Practice Address - Phone:718-381-2290
Practice Address - Fax:718-307-6403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03184347Medicaid
NY614335100OtherOWCP DOL
NY03184347Medicaid