Provider Demographics
NPI:1013085612
Name:MANAGED HEALTH CARE SERVICES & SUPPLIES, INC.
Entity Type:Organization
Organization Name:MANAGED HEALTH CARE SERVICES & SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TUVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-693-7635
Mailing Address - Street 1:6001A RIVERDALE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-1615
Mailing Address - Country:US
Mailing Address - Phone:347-693-7635
Mailing Address - Fax:631-656-6334
Practice Address - Street 1:6001A RIVERDALE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-1615
Practice Address - Country:US
Practice Address - Phone:347-693-7635
Practice Address - Fax:631-656-6334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1011160001Medicare NSC