Provider Demographics
NPI:1811707540
Name:MEDLINE PARTNERS INC
Entity type:Organization
Organization Name:MEDLINE PARTNERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAGUFTA
Authorized Official - Middle Name:
Authorized Official - Last Name:JABEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:934-202-5764
Mailing Address - Street 1:2135 LINDEN BLVD STE 1D
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-3900
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2135 LINDEN BLVD STE 1D
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-3900
Practice Address - Country:US
Practice Address - Phone:934-202-5764
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies