Organization
NEW YORK DIABETIC SUPPLY
Active
Parent organization
INSULET CORPORATION
Other names
Neighborhood Diabetes
Organization subpart
Yes
Provider details
NPI number
Legal business name
INSULET CORPORATION
Authorized official
MR. DONALD JAROD CASS (VICE PRESIDENT AND GENERAL MANAGER)
(978) 600-7445
Entity
Organization
Contact information
Practice address
958 - E 2ND STREET, BROOKLYN, MA 11230-2610
(718) 853-9349
(866) 784-5646
Mailing address
P.O. BOX 849098, BOSTON, MA 02284-9098
(718) 853-9349
(718) 972-7895
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
14490
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00262506
—
NY
Enumeration date
06/04/2007
Last updated
04/09/2015
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