Healthcare Provider Details

I. General information

NPI: 1235055583
Provider Name (Legal Business Name): MILEY SUPPLIES NYC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6076 67TH AVE
RIDGEWOOD NY
11385-4551
US

IV. Provider business mailing address

2266 BATH AVE # 107
BROOKLYN NY
11214-5714
US

V. Phone/Fax

Practice location:
  • Phone: 929-334-5074
  • Fax:
Mailing address:
  • Phone: 929-334-5074
  • 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: AMANDA GEILING
Title or Position: OWNER
Credential:
Phone: 929-334-5074