Provider Demographics
NPI:1295162170
Name:GLOBAL UNITED MEDICAL SUPPLY AND EQUIPMENT
Entity type:Organization
Organization Name:GLOBAL UNITED MEDICAL SUPPLY AND EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-320-4170
Mailing Address - Street 1:4408 MILESTRIP RD
Mailing Address - Street 2:251
Mailing Address - City:BLASDELL
Mailing Address - State:NY
Mailing Address - Zip Code:14219-2553
Mailing Address - Country:US
Mailing Address - Phone:347-320-4170
Mailing Address - Fax:
Practice Address - Street 1:4408 MILESTRIP RD
Practice Address - Street 2:251
Practice Address - City:BLASDELL
Practice Address - State:NY
Practice Address - Zip Code:14219-2553
Practice Address - Country:US
Practice Address - Phone:347-320-4170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-09
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies