Provider Demographics
NPI:1972918613
Name:ALLCARE MEDICAL SUPPLY
Entity type:Organization
Organization Name:ALLCARE MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMHIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-328-6300
Mailing Address - Street 1:927 SOUTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459-4507
Mailing Address - Country:US
Mailing Address - Phone:718-328-6300
Mailing Address - Fax:718-638-6306
Practice Address - Street 1:927 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-4507
Practice Address - Country:US
Practice Address - Phone:718-328-6300
Practice Address - Fax:718-638-6306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-20
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies