Provider Demographics
NPI:1528311420
Name:DYNAMIC DME INC
Entity type:Organization
Organization Name:DYNAMIC DME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PRAKASH
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-233-6301
Mailing Address - Street 1:161 DREISER LOOP
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-2703
Mailing Address - Country:US
Mailing Address - Phone:718-233-6301
Mailing Address - Fax:718-692-0258
Practice Address - Street 1:161 DREISER LOOP
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-2703
Practice Address - Country:US
Practice Address - Phone:718-233-6301
Practice Address - Fax:718-692-0258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-17
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies