Provider Demographics
NPI:1669499232
Name:MED AID SUPPLY, LLC
Entity Type:Organization
Organization Name:MED AID SUPPLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:GIARDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-765-8478
Mailing Address - Street 1:32645 MAIN RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CUTCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11935-1364
Mailing Address - Country:US
Mailing Address - Phone:631-765-8478
Mailing Address - Fax:
Practice Address - Street 1:32645 MAIN RD
Practice Address - Street 2:SUITE 4
Practice Address - City:CUTCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11935-1364
Practice Address - Country:US
Practice Address - Phone:631-765-8478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA4505520001Medicare ID - Type Unspecified