Provider Demographics
NPI:1740585470
Name:MEDICAL SUPPLIES OF NEW YORK INC
Entity type:Organization
Organization Name:MEDICAL SUPPLIES OF NEW YORK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JOSPEH
Authorized Official - Last Name:MAGGIACOMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-326-8585
Mailing Address - Street 1:PO BOX 20571
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11002-0571
Mailing Address - Country:US
Mailing Address - Phone:516-326-8585
Mailing Address - Fax:516-326-2538
Practice Address - Street 1:162 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-2006
Practice Address - Country:US
Practice Address - Phone:516-326-8585
Practice Address - Fax:516-326-2538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY354972900332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies