Provider Demographics
NPI:1306455076
Name:EMPIRE MEDICAL PRODUCTS LLC
Entity type:Organization
Organization Name:EMPIRE MEDICAL PRODUCTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MORDCHAI
Authorized Official - Middle Name:
Authorized Official - Last Name:RIEGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-371-1700
Mailing Address - Street 1:11 CHARLES LN STE 111
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-3331
Mailing Address - Country:US
Mailing Address - Phone:845-371-1700
Mailing Address - Fax:
Practice Address - Street 1:11 CHARLES LN STE 111
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-3331
Practice Address - Country:US
Practice Address - Phone:845-371-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies