Provider Demographics
NPI:1811438468
Name:ALL PRO MEDICAL SUPPLIES, INC
Entity type:Organization
Organization Name:ALL PRO MEDICAL SUPPLIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLLENHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-475-9000
Mailing Address - Street 1:1101 STEWART AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4808
Mailing Address - Country:US
Mailing Address - Phone:516-414-4700
Mailing Address - Fax:516-743-9575
Practice Address - Street 1:1101 STEWART AVE STE 305
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4808
Practice Address - Country:US
Practice Address - Phone:516-414-4700
Practice Address - Fax:516-743-9575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier