Organization · NPI-2

Elite Dme, INC.

Durable Medical Equipment & Medical Supplies · Stony Brook, NY

NPI number1336214170
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1336214170
Entity type
Organization (NPI-2)
Legal business name
Elite Dme, INC.
Organization subpart
No
Enumeration date
Nov 21, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

1212 N Country Rd
Suite 4b
Stony Brook, NY 11790-1919

Phone 631-240-7377 · Fax 631-326-6098

Mailing address

1212 N Country Rd
Suite 4b
Stony Brook, NY 11790-1919

Phone 631-240-7377 · Fax 631-326-6098

Authorized official

Jeanne Byrne
Operations Director
6312407377

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