Provider Demographics
NPI:1942476080
Name:A&Y MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:A&Y MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YAKHIEL
Authorized Official - Middle Name:YANIK
Authorized Official - Last Name:FIRGIYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-379-0302
Mailing Address - Street 1:1308 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-1418
Mailing Address - Country:US
Mailing Address - Phone:516-379-0302
Mailing Address - Fax:516-379-0535
Practice Address - Street 1:1308 GRAND AVE
Practice Address - Street 2:
Practice Address - City:NORTH BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-1418
Practice Address - Country:US
Practice Address - Phone:516-379-0302
Practice Address - Fax:516-379-0535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6180030001Medicare NSC