Provider Demographics
NPI:1922256593
Name:AVERY BIOMEDICAL DEVICES, INC.
Entity Type:Organization
Organization Name:AVERY BIOMEDICAL DEVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:631-864-1600
Mailing Address - Street 1:61 MALL DR
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-5703
Mailing Address - Country:US
Mailing Address - Phone:631-864-1600
Mailing Address - Fax:631-864-1610
Practice Address - Street 1:61 MALL DR
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-5703
Practice Address - Country:US
Practice Address - Phone:631-864-1600
Practice Address - Fax:631-864-1610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment