Organization Name: | MIISUPPLY LLC |
NPI Number: | 1073903217 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VLAD MOSHE (MANAGER) |
Mailing Address: | 450 Jericho Tpke Mineola |
State: | NY US |
Postal Code: | 115011135 |
Phone Number: | 5162796622 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2015 |
NPI Last Update Date: | 10/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 2017597 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |