Provider Demographics
NPI:1912547787
Name:AMERICAN SUPPLY INC
Entity Type:Organization
Organization Name:AMERICAN SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMZOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-499-9955
Mailing Address - Street 1:2263 E 15TH ST LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4380
Mailing Address - Country:US
Mailing Address - Phone:917-499-9955
Mailing Address - Fax:718-228-8587
Practice Address - Street 1:2263 E 15TH ST LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4380
Practice Address - Country:US
Practice Address - Phone:917-499-9955
Practice Address - Fax:718-228-8587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-09
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies