Provider Demographics
NPI:1700644770
Name:NY CARE SUPPLIES CORP
Entity type:Organization
Organization Name:NY CARE SUPPLIES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAMIAA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELKOULILY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-351-3331
Mailing Address - Street 1:357 BROADWAY STE 2B
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-2748
Mailing Address - Country:US
Mailing Address - Phone:516-351-3331
Mailing Address - Fax:
Practice Address - Street 1:357 BROADWAY STE 2B
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-2748
Practice Address - Country:US
Practice Address - Phone:516-351-3331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies