Organization
WEST NEW YORK MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFREDO VALDES JR. (PRES)
(201) 854-9910
Entity
Organization
Contact information
Practice address
444 60TH ST, WEST NEW YORK, NJ 07093-2200
(201) 854-9910
(201) 854-9920
Mailing address
444 60TH ST, WEST NEW YORK, NJ 07093-2200
(201) 854-9910
(201) 854-9920
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130095
—
NJ
01
—
1125704
HORIZON NJ HEALTH
NJ
01
—
2437728
AETNA
NJ
Enumeration date
03/25/2006
Last updated
08/22/2020
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