Provider Demographics
NPI:1477386597
Name:ROBUST SUPPLIES CORP
Entity type:Organization
Organization Name:ROBUST SUPPLIES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FITTER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSTANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-729-7999
Mailing Address - Street 1:75 LAKE RD A
Mailing Address - Street 2:SUITE 144
Mailing Address - City:CONGERS
Mailing Address - State:NY
Mailing Address - Zip Code:10920
Mailing Address - Country:US
Mailing Address - Phone:914-729-7999
Mailing Address - Fax:
Practice Address - Street 1:274 2ND ST APT 2
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-6202
Practice Address - Country:US
Practice Address - Phone:516-815-0555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies