Provider Demographics
NPI:1871637405
Name:BAY L'S MEDICAL SUPPLY
Entity Type:Organization
Organization Name:BAY L'S MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEKAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1718-943-0171
Mailing Address - Street 1:4172 BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2452
Mailing Address - Country:US
Mailing Address - Phone:171-894-3017
Mailing Address - Fax:171-894-3017
Practice Address - Street 1:4172 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2452
Practice Address - Country:US
Practice Address - Phone:171-894-3017
Practice Address - Fax:171-894-3017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1216244332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5550110001Medicare NSC