Organization · NPI-2

1814 Supply Corp.

Durable Medical Equipment & Medical Supplies · Albany, NY

NPI number1366768665
StatusActive
Last updated in NPPESApr 12, 2010

Details

NPI
1366768665
Entity type
Organization (NPI-2)
Legal business name
1814 Supply Corp.
Organization subpart
No
Enumeration date
Apr 12, 2010
Last updated
Apr 12, 2010

Taxonomy and licenses

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

Other names

  • Garrett Medical (Doing Business As)

Practice location

1814 Central Ave
Albany, NY 12205-4754

Phone 518-869-1289 · Fax 518-869-1679

Mailing address

1814 Central Ave
Albany, NY 12205-4754

Phone 518-869-1289 · Fax 518-869-1679

Authorized official

Sandra Sue Jacobs
President
5188691289

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