Provider Demographics
NPI:1750748554
Name:EMPIRE MEDICAL SUPPLIES INC
Entity type:Organization
Organization Name:EMPIRE MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RABIEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-464-5066
Mailing Address - Street 1:87 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-4703
Mailing Address - Country:US
Mailing Address - Phone:800-464-5066
Mailing Address - Fax:866-538-6204
Practice Address - Street 1:87 GARDEN ST
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-4703
Practice Address - Country:US
Practice Address - Phone:800-464-5066
Practice Address - Fax:866-538-6204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment