Provider Demographics
NPI:1265654420
Name:ALLSTATE MEDICAL EQUIPMENT, INC.
Entity type:Organization
Organization Name:ALLSTATE MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECTY-TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:DICKERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-641-3700
Mailing Address - Street 1:PO BOX 640155
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-0155
Mailing Address - Country:US
Mailing Address - Phone:718-641-3700
Mailing Address - Fax:718-641-9371
Practice Address - Street 1:87-10 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11417-1327
Practice Address - Country:US
Practice Address - Phone:718-641-3700
Practice Address - Fax:718-641-9371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherTAX ID