Organization
THE MEDICAL SUPPLY GUY INC.
Active
Organization
THE MEDICAL SUPPLY GUY INC.
Active
Other names
Medixsource
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DAVID SOLOMON MD (OWNER/PRESIDENT)
(516) 547-5815
Entity
Organization
Contact information
Practice address
333 GLEN HEAD RD STE 205, GLEN HEAD, NY 11545-1960
(516) 490-2136
Mailing address
110 COVES RUN, SYOSSET, NY 11791-1005
(516) 547-5815
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180577
LICENSE
NY
Enumeration date
01/28/2020
Last updated
03/13/2020
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