Provider Demographics
NPI:1639503121
Name:AMASOL MEDICAL EQUIPMENT & SUPPLY LLC
Entity Type:Organization
Organization Name:AMASOL MEDICAL EQUIPMENT & SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOSES
Authorized Official - Middle Name:
Authorized Official - Last Name:CARAYOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-582-2764
Mailing Address - Street 1:419 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-2302
Mailing Address - Country:US
Mailing Address - Phone:212-470-3074
Mailing Address - Fax:
Practice Address - Street 1:419 S BROADWAY
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-2585
Practice Address - Country:US
Practice Address - Phone:914-964-9800
Practice Address - Fax:914-964-9803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-03
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies