Provider Demographics
NPI:1104914035
Name:H & J MEDICAL SUPPLIES INC
Entity type:Organization
Organization Name:H & J MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRACEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-669-5006
Mailing Address - Street 1:270 SPAGNOLI RD STE 111
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-3515
Mailing Address - Country:US
Mailing Address - Phone:631-669-5006
Mailing Address - Fax:631-669-6600
Practice Address - Street 1:270 SPAGNOLI RD STE 111
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-3515
Practice Address - Country:US
Practice Address - Phone:631-669-5006
Practice Address - Fax:631-669-6600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02243043Medicaid
4299730001Medicare ID - Type Unspecified