Provider Demographics
NPI:1255428652
Name:APPROVED MEDICAL SUPPLY INC.
Entity type:Organization
Organization Name:APPROVED MEDICAL SUPPLY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNDAY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-685-6343
Mailing Address - Street 1:423 SARATOGA AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-4708
Mailing Address - Country:US
Mailing Address - Phone:718-230-8701
Mailing Address - Fax:718-230-8707
Practice Address - Street 1:423 SARATOGA AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-4708
Practice Address - Country:US
Practice Address - Phone:718-230-8701
Practice Address - Fax:718-230-8707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1240143332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02861163Medicaid
NY1240143OtherDCA LICENSE NUMBERS
NY02861163Medicaid