Provider Demographics
NPI:1134114309
Name:BRIARCLIFF MEDICAL SUPPLIES
Entity type:Organization
Organization Name:BRIARCLIFF MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:J
Authorized Official - Last Name:TAGLIARINO
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, BA
Authorized Official - Phone:914-576-4100
Mailing Address - Street 1:20 CEDAR ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5247
Mailing Address - Country:US
Mailing Address - Phone:914-576-4100
Mailing Address - Fax:914-576-9766
Practice Address - Street 1:20 CEDAR STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-7538
Practice Address - Country:US
Practice Address - Phone:914-576-4100
Practice Address - Fax:914-576-9766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01418566Medicaid
NY01418566Medicaid