Provider Demographics
NPI:1821560830
Name:AERO MEDICAL SUPPLY, INC
Entity Type:Organization
Organization Name:AERO MEDICAL SUPPLY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:
Authorized Official - Last Name:STARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-786-2334
Mailing Address - Street 1:415 ARGYLE RD APT 3M
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-5429
Mailing Address - Country:US
Mailing Address - Phone:212-786-2334
Mailing Address - Fax:646-518-0115
Practice Address - Street 1:415 ARGYLE RD APT 3M
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-5429
Practice Address - Country:US
Practice Address - Phone:212-786-2334
Practice Address - Fax:646-518-0115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-02
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies