Organization
EASTERN MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT C TILLMAN (OWNER)
(516) 238-2283
Entity
Organization
Contact information
Practice address
101 DUPONT ST STE 22, PLAINVIEW, NY 11803-1688
(516) 238-2283
Mailing address
1859 LEONARD LN, MERRICK, NY 11566-4933
(866) 367-6682
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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