Provider Demographics
NPI:1609397157
Name:ADVANCED MEDICAL WORLD LLC
Entity Type:Organization
Organization Name:ADVANCED MEDICAL WORLD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-432-8608
Mailing Address - Street 1:PO BOX 165
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-0165
Mailing Address - Country:US
Mailing Address - Phone:347-432-8608
Mailing Address - Fax:718-228-7139
Practice Address - Street 1:2 PERLMAN DR UNIT LL13
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-5245
Practice Address - Country:US
Practice Address - Phone:347-432-8608
Practice Address - Fax:718-228-7139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies