Healthcare Provider Details

I. General information

NPI: 1376471185
Provider Name (Legal Business Name): MERIDAN HEALTH SUPPLY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 S WARREN ST STE 519
SYRACUSE NY
13202-2679
US

IV. Provider business mailing address

499 S WARREN ST STE 519
SYRACUSE NY
13202-2679
US

V. Phone/Fax

Practice location:
  • Phone: 914-406-1211
  • Fax:
Mailing address:
  • Phone: 914-406-1211
  • 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: MUHAMMAD NADEEM
Title or Position: CEO
Credential:
Phone: 914-406-1211