Healthcare Provider Details

I. General information

NPI: 1811438468
Provider Name (Legal Business Name): ALL PRO MEDICAL SUPPLIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2017
Last Update Date: 05/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 STEWART AVE STE 305
GARDEN CITY NY
11530-4808
US

IV. Provider business mailing address

1101 STEWART AVE STE 305
GARDEN CITY NY
11530-4808
US

V. Phone/Fax

Practice location:
  • Phone: 516-414-4700
  • Fax: 516-743-9575
Mailing address:
  • Phone: 516-414-4700
  • Fax: 516-743-9575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: TIM MOLLENHAUER
Title or Position: CEO/PRESIDENT
Credential:
Phone: 631-475-9000