Provider Demographics
NPI:1912328139
Name:DRAGON MEDICAL SUPPLY, INC.
Entity type:Organization
Organization Name:DRAGON MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:YUEMEI
Authorized Official - Middle Name:
Authorized Official - Last Name:SONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-745-5888
Mailing Address - Street 1:63-15 8TH. AVENUE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-4717
Mailing Address - Country:US
Mailing Address - Phone:718-745-5888
Mailing Address - Fax:718-745-5788
Practice Address - Street 1:63-15 8TH. AVENUE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-4717
Practice Address - Country:US
Practice Address - Phone:718-745-5888
Practice Address - Fax:718-745-5788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-16
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies