Provider Demographics
NPI:1760207195
Name:YORK MEDICAL SUPPLIES
Entity type:Organization
Organization Name:YORK MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MANNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-742-7567
Mailing Address - Street 1:1217 FOSTER AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-1607
Mailing Address - Country:US
Mailing Address - Phone:646-742-7567
Mailing Address - Fax:
Practice Address - Street 1:1217 FOSTER AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-1607
Practice Address - Country:US
Practice Address - Phone:646-742-7567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies