Provider Demographics
NPI:1316233117
Name:AMERICAN ORTHOMEDICAL SUPPLIES CORP.
Entity type:Organization
Organization Name:AMERICAN ORTHOMEDICAL SUPPLIES CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORDUKHAYEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-627-6666
Mailing Address - Street 1:455 BAYVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:INWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11096-1701
Mailing Address - Country:US
Mailing Address - Phone:212-627-6666
Mailing Address - Fax:516-239-4040
Practice Address - Street 1:455 BAYVIEW AVE
Practice Address - Street 2:
Practice Address - City:INWOOD
Practice Address - State:NY
Practice Address - Zip Code:11096-1701
Practice Address - Country:US
Practice Address - Phone:212-627-6666
Practice Address - Fax:516-239-4040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies