Provider Demographics
NPI:1700549078
Name:MONMARKED, LLC
Entity type:Organization
Organization Name:MONMARKED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DECHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-335-2292
Mailing Address - Street 1:249 S MIDDLETOWN RD
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-3037
Mailing Address - Country:US
Mailing Address - Phone:917-335-2292
Mailing Address - Fax:
Practice Address - Street 1:249 S MIDDLETOWN RD
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-3037
Practice Address - Country:US
Practice Address - Phone:917-335-2292
Practice Address - Fax:516-271-2420
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MONMARKED, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies