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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