Provider Demographics
NPI:1023340858
Name:EMPIRE MEDICAL EQUIPMENT, LLC
Entity type:Organization
Organization Name:EMPIRE MEDICAL EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALYESHMERNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-220-0257
Mailing Address - Street 1:PO BOX 1184
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-0904
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:516-882-6086
Practice Address - Street 1:20 SHAMROCK CT
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-2417
Practice Address - Country:US
Practice Address - Phone:516-220-0257
Practice Address - Fax:516-882-6086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies