Healthcare Provider Details

I. General information

NPI: 1750204509
Provider Name (Legal Business Name): MERIDIAN HEALTH SUPLY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2125 ALBANY POST RD STE 402
MONTROSE NY
10548-1447
US

IV. Provider business mailing address

656 CENTRAL PARK AVE STE 110
SCARSDALE NY
10583-2512
US

V. Phone/Fax

Practice location:
  • Phone: 914-403-0172
  • Fax:
Mailing address:
  • Phone: 914-403-0172
  • 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: IMTIAZ AHMAD
Title or Position: CEO
Credential:
Phone: 914-403-0172