Provider Demographics
NPI:1124453444
Name:AMERIAID MEDICAL SUPPLY
Entity type:Organization
Organization Name:AMERIAID MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HUMPHREY
Authorized Official - Middle Name:
Authorized Official - Last Name:UDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-785-0493
Mailing Address - Street 1:1162 SAINT JOHNS PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-2898
Mailing Address - Country:US
Mailing Address - Phone:646-785-0493
Mailing Address - Fax:718-484-9399
Practice Address - Street 1:1162 SAINT JOHNS PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-2898
Practice Address - Country:US
Practice Address - Phone:646-785-0493
Practice Address - Fax:718-484-9399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies