Provider Demographics
NPI:1154101400
Name:PRO MED PARTNERS INC
Entity type:Organization
Organization Name:PRO MED PARTNERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MORDCHAI
Authorized Official - Middle Name:
Authorized Official - Last Name:FREIDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-225-4083
Mailing Address - Street 1:873 ROUTE 45 STE 111
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1905
Mailing Address - Country:US
Mailing Address - Phone:646-225-4083
Mailing Address - Fax:
Practice Address - Street 1:873 ROUTE 45 STE 111
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1905
Practice Address - Country:US
Practice Address - Phone:646-225-4083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies