<Unavail>

LBN: Active Therapy Supply, Inc
<Unavail> is an health care organization with primary practice located at 4050 Nostrand Ave Ste 3M , Brooklyn NY 11235-2250. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Active Therapy Supply, Inc can be contacted via phone (718) 544-2850, or through Minazova, Roza via phone (718) 544-2850.

Contact Information

Primary practice address
4050 Nostrand Ave Ste 3M Brooklyn NY 11235-2250
Phone: (718) 544-2850
Fax: (646) 416-6653
Website:
Map and Directions
Authorized official contact:
Name: Minazova, Roza
Phone: (718) 544-2850

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X New York

Profile Details

NPI number 1033116447
LBN Legal business name Active Therapy Supply, Inc
DBA Doing business as <Unavail>
Authorized official Minazova, Roza
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Jan 31st, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033116447 NPPES
New York MEDICAID 01077054
New York Other 0119355
New York Other ANC1430

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