Organization
ALL PRO MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM IAN MOLLENHAUER (PRESIDENT/CEO)
(631) 475-9000
Entity
Organization
Contact information
Practice address
464 E MAIN ST, PATCHOGUE, NY 11772-3106
(631) 475-9000
(631) 475-9014
Mailing address
464 E MAIN ST, PATCHOGUE, NY 11772-3106
(631) 475-9000
(631) 475-9014
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02531840
—
NY
Enumeration date
07/31/2006
Last updated
07/16/2010
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