Organization
DOC BROWNS INC
Active
Other names
Mid Island Medical Supply Company
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER BROWN (PRESIDENT OWNER)
(516) 781-7332
Entity
Organization
Contact information
Practice address
2093 WANTAGH AVE, WANTAGH, NY 11793-3913
(516) 781-7332
(516) 781-2542
Mailing address
2093 WANTAGH AVE, WANTAGH, NY 11793-3913
(516) 781-7332
(516) 781-2542
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01577384
—
NY
01
—
100153504601
AMERICHOICE
GA
01
—
1535046
UNITED HEALTHCARE
GA
01
—
F394358
OXFORD
CT
Enumeration date
07/11/2006
Last updated
03/24/2010
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