Provider Demographics
NPI:1336681790
Name:JOHN CARPARELLI
Entity type:Organization
Organization Name:JOHN CARPARELLI
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:CARPARELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-456-2467
Mailing Address - Street 1:570 BELLMORE RD
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-5456
Mailing Address - Country:US
Mailing Address - Phone:516-456-2467
Mailing Address - Fax:
Practice Address - Street 1:18 JAMES ST S
Practice Address - Street 2:SUITE 100
Practice Address - City:EAST ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11518-2017
Practice Address - Country:US
Practice Address - Phone:212-879-5226
Practice Address - Fax:516-874-2763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-16
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies