Provider Demographics
NPI:1679776660
Name:AVMEDCO SERVICES INC
Entity Type:Organization
Organization Name:AVMEDCO SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARY
Authorized Official - Middle Name:
Authorized Official - Last Name:FORREST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-473-1836
Mailing Address - Street 1:315 E 21ST ST
Mailing Address - Street 2:SUITE 2H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6554
Mailing Address - Country:US
Mailing Address - Phone:212-473-1836
Mailing Address - Fax:
Practice Address - Street 1:315 E 21ST ST
Practice Address - Street 2:SUITE 2H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6554
Practice Address - Country:US
Practice Address - Phone:212-473-1836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier