Provider Demographics
NPI:1891035200
Name:ENDICOTT-UNION INC
Entity Type:Organization
Organization Name:ENDICOTT-UNION INC
Other - Org Name:ENDICOTT-UNION MEDICAL EQUIPMENT SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:E
Authorized Official - Last Name:ORJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-231-0096
Mailing Address - Street 1:1280 E GUN HILL RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-2963
Mailing Address - Country:US
Mailing Address - Phone:718-231-0096
Mailing Address - Fax:
Practice Address - Street 1:1280 E GUN HILL RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-2963
Practice Address - Country:US
Practice Address - Phone:718-231-0096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies