Provider Demographics
NPI:1013976828
Name:UNITED STATES MEDICAL SUPPLY CO.INC
Entity Type:Organization
Organization Name:UNITED STATES MEDICAL SUPPLY CO.INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:GREENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-842-1373
Mailing Address - Street 1:10 WALDRON AVE
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-2965
Mailing Address - Country:US
Mailing Address - Phone:845-358-3960
Mailing Address - Fax:
Practice Address - Street 1:10 WALDRON AVE
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-2931
Practice Address - Country:US
Practice Address - Phone:845-358-3960
Practice Address - Fax:845-348-0604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7018908Medicaid
NY01582190Medicaid
NY01582190Medicaid