Provider Demographics
NPI:1861769226
Name:DURABLE MEDICAL EQUIPMENT & SUPPLIES LTD
Entity type:Organization
Organization Name:DURABLE MEDICAL EQUIPMENT & SUPPLIES LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO; OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MCCARTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-683-6699
Mailing Address - Street 1:80 FRENCH RD
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14227-2702
Mailing Address - Country:US
Mailing Address - Phone:716-683-6699
Mailing Address - Fax:716-683-4888
Practice Address - Street 1:535 SUMMIT POINT DR
Practice Address - Street 2:
Practice Address - City:HENRIETTA
Practice Address - State:NY
Practice Address - Zip Code:14467-9628
Practice Address - Country:US
Practice Address - Phone:585-768-9495
Practice Address - Fax:585-768-7376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-29
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03996178Medicaid
NY03996178Medicaid