Provider Demographics
NPI:1619255676
Name:TOP DME LLC
Entity Type:Organization
Organization Name:TOP DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCELLO
Authorized Official - Middle Name:
Authorized Official - Last Name:SOZIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-948-0181
Mailing Address - Street 1:243 BOYLE RD
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:SELDEN
Mailing Address - State:NY
Mailing Address - Zip Code:11784-1929
Mailing Address - Country:US
Mailing Address - Phone:631-320-1245
Mailing Address - Fax:631-320-1248
Practice Address - Street 1:243 BOYLE RD
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:SELDEN
Practice Address - State:NY
Practice Address - Zip Code:11784-1929
Practice Address - Country:US
Practice Address - Phone:631-320-1245
Practice Address - Fax:631-320-1248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site