Provider Demographics
NPI:1730180779
Name:AMERICAN MEDICAL SUPPLY CENTER INC
Entity type:Organization
Organization Name:AMERICAN MEDICAL SUPPLY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:PIEKARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-302-1923
Mailing Address - Street 1:185 MARCY AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-6261
Mailing Address - Country:US
Mailing Address - Phone:718-302-1923
Mailing Address - Fax:718-302-9015
Practice Address - Street 1:185 MARCY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-6261
Practice Address - Country:US
Practice Address - Phone:718-302-1923
Practice Address - Fax:718-302-9015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4036650001Medicare ID - Type Unspecified