Provider Demographics
NPI:1649040734
Name:BLUEMED SUPPLIES NY INC
Entity type:Organization
Organization Name:BLUEMED SUPPLIES NY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-307-4455
Mailing Address - Street 1:299 WALLABOUT ST APT 5B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-5581
Mailing Address - Country:US
Mailing Address - Phone:718-307-4455
Mailing Address - Fax:718-307-4456
Practice Address - Street 1:299 WALLABOUT ST APT 5B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-5581
Practice Address - Country:US
Practice Address - Phone:718-307-4455
Practice Address - Fax:718-307-4456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies