Provider Demographics
NPI:1104648906
Name:BNB SUPPLY CORP
Entity type:Organization
Organization Name:BNB SUPPLY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BINYAMINOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-810-1181
Mailing Address - Street 1:128 MIDDLE NECK RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-1245
Mailing Address - Country:US
Mailing Address - Phone:516-810-1181
Mailing Address - Fax:516-268-9606
Practice Address - Street 1:128 MIDDLE NECK RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-1245
Practice Address - Country:US
Practice Address - Phone:516-810-1181
Practice Address - Fax:516-268-9606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies