Provider Demographics
NPI:1528298999
Name:DME MEDICAL SUPPLIES INC.
Entity type:Organization
Organization Name:DME MEDICAL SUPPLIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAMIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-769-6409
Mailing Address - Street 1:440 WAVERLY AVE
Mailing Address - Street 2:SUITE 11
Mailing Address - City:PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-7600
Mailing Address - Country:US
Mailing Address - Phone:631-627-6555
Mailing Address - Fax:
Practice Address - Street 1:440 WAVERLY AVE
Practice Address - Street 2:SUITE 11
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-7600
Practice Address - Country:US
Practice Address - Phone:631-627-6555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-20
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6534880001Medicare NSC