Provider Demographics
NPI:1124318936
Name:ASSURANCE MEDICAL SUPPLY PLUS INC
Entity type:Organization
Organization Name:ASSURANCE MEDICAL SUPPLY PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OLAYINKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BADERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-618-7013
Mailing Address - Street 1:424 GRAND CONCOURSE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-5331
Mailing Address - Country:US
Mailing Address - Phone:718-618-7013
Mailing Address - Fax:718-618-7014
Practice Address - Street 1:424 GRAND CONCOURSE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5331
Practice Address - Country:US
Practice Address - Phone:718-618-7013
Practice Address - Fax:718-618-7014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-13
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies