Provider Demographics
NPI:1134102577
Name:RESPIRATORY MEDICAL SUPPLY CORPORATION
Entity type:Organization
Organization Name:RESPIRATORY MEDICAL SUPPLY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:ESPOSIT
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:631-261-2626
Mailing Address - Street 1:260 LARKFIELD RD
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-2413
Mailing Address - Country:US
Mailing Address - Phone:631-261-2626
Mailing Address - Fax:631-261-5426
Practice Address - Street 1:260 LARKFIELD RD
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-2413
Practice Address - Country:US
Practice Address - Phone:631-261-2626
Practice Address - Fax:631-261-5426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-21
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA1867112OtherOXFORD DME PROVIDER
NY01449807Medicaid
NY0663400001Medicare NSC