Healthcare Provider Details

I. General information

NPI: 1326956624
Provider Name (Legal Business Name): LUMICO SPLY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 MELVILLE PARK RD STE 86
MELVILLE NY
11747-3287
US

IV. Provider business mailing address

25 MELVILLE PARK RD STE 86
MELVILLE NY
11747-3287
US

V. Phone/Fax

Practice location:
  • Phone: 516-343-1485
  • Fax:
Mailing address:
  • Phone: 516-343-1485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ASAD MAHMOOD
Title or Position: CEO
Credential: MAHMOOD
Phone: 516-343-1485