Provider Demographics
NPI:1841229945
Name:GLOBAL UNITED MEDICAL SUPPLIES, INC
Entity Type:Organization
Organization Name:GLOBAL UNITED MEDICAL SUPPLIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VALERY
Authorized Official - Middle Name:
Authorized Official - Last Name:POGREBCHUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-375-1100
Mailing Address - Street 1:1764 CROPSEY AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-6021
Mailing Address - Country:US
Mailing Address - Phone:718-375-1100
Mailing Address - Fax:718-745-6735
Practice Address - Street 1:1764 CROPSEY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-6021
Practice Address - Country:US
Practice Address - Phone:718-375-1100
Practice Address - Fax:718-745-6735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0940157332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02065332Medicaid
NY02065332Medicaid