Eastern Medical Supply INC
Durable Medical Equipment & Medical Supplies, Customized Equipment in Plainview, NY. Organization (NPI-2).
NPI number1164062543
StatusActive
Last updated in NPPESJan 13, 2020
Details
- NPI
- 1164062543
- Entity type
- Organization (NPI-2)
- Legal business name
- Eastern Medical Supply INC
- Organization subpart
- No
- Enumeration date
- Jan 13, 2020
- Certification date
- Jan 13, 2020
- Last updated
- Jan 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – | Yes |
| 252Y00000X | Early Intervention Provider Agency | – | – |
Practice location
101 Dupont St Ste 22Plainview, NY 11803-1688
Phone 516-238-2283
Mailing address
1859 Leonard LnMerrick, NY 11566-4933
Phone 866-367-6682
Authorized official
Scott C Tillman
Owner
5162382283
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Customized Equipment (DME) providers in Plainview, NY
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.