Provider Demographics
NPI:1295087336
Name:NU-LIFE MEDICAL EQUIPMENT AND SUPPLIES, INC
Entity type:Organization
Organization Name:NU-LIFE MEDICAL EQUIPMENT AND SUPPLIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAMIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-672-5105
Mailing Address - Street 1:7300 PITTSFORD PALMYRA ROAD
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-9202
Mailing Address - Country:US
Mailing Address - Phone:585-672-5105
Mailing Address - Fax:180-043-3069
Practice Address - Street 1:7300 PITTSFORD PALMYRA RD
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-8415
Practice Address - Country:US
Practice Address - Phone:585-672-5105
Practice Address - Fax:180-043-3069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-13
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies