Healthcare Provider Details

I. General information

NPI: 1821091919
Provider Name (Legal Business Name): STONEBRIGE DISTRIBUTION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661 HILLSIDE RD SUITE B
PELHAM NY
10803-2723
US

IV. Provider business mailing address

661 HILLSIDE RD SUITE B
PELHAM NY
10803-2723
US

V. Phone/Fax

Practice location:
  • Phone: 914-738-9400
  • Fax: 914-738-3496
Mailing address:
  • Phone: 914-738-9400
  • Fax: 914-738-3496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MS. ROSE PEREG
Title or Position: CEO
Credential:
Phone: 914-738-9400