Provider Demographics
NPI:1619081411
Name:MEDICAL SUPPLY SPECIALISTS
Entity Type:Organization
Organization Name:MEDICAL SUPPLY SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SIMCHA
Authorized Official - Middle Name:
Authorized Official - Last Name:FEUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-758-2780
Mailing Address - Street 1:2711 AVENUE J
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-3733
Mailing Address - Country:US
Mailing Address - Phone:718-758-2780
Mailing Address - Fax:718-253-2121
Practice Address - Street 1:1688 UTICA AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-1525
Practice Address - Country:US
Practice Address - Phone:718-758-2780
Practice Address - Fax:718-253-2121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies