Provider Demographics
NPI:1720655319
Name:SUPERIOR DME, INC.
Entity Type:Organization
Organization Name:SUPERIOR DME, INC.
Other - Org Name:SOLECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SRULOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-865-8365
Mailing Address - Street 1:52 N MYRTLE AVE # 54
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-4817
Mailing Address - Country:US
Mailing Address - Phone:718-977-5151
Mailing Address - Fax:718-977-5152
Practice Address - Street 1:52 N MYRTLE AVE # 54
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-4817
Practice Address - Country:US
Practice Address - Phone:718-977-5151
Practice Address - Fax:718-977-5152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-10
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment