Provider Demographics
NPI:1689211096
Name:EMPIRE DME INC.
Entity Type:Organization
Organization Name:EMPIRE DME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATION
Authorized Official - Prefix:
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:SAKURA
Authorized Official - Last Name:BENNETCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-735-7651
Mailing Address - Street 1:263 52ND ST STE 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-1769
Mailing Address - Country:US
Mailing Address - Phone:718-576-3925
Mailing Address - Fax:
Practice Address - Street 1:263 52ND ST STE 3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-1769
Practice Address - Country:US
Practice Address - Phone:718-576-3925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies