Organization
MEDIS EAST, INC
Active
Other names
SILVERCARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY S SUH (PRESIDENT)
(718) 359-5600
Entity
Organization
Contact information
Practice address
15005 NORTHERN BLVD, FLUSHING, NY 11354-3846
(718) 359-5600
Mailing address
15005 NORTHERN BLVD, FLUSHING, NY 11354-3846
(718) 359-5600
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
02065483
NY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
02065483
NY
332BX2000X
Oxygen Equipment & Supplies (DME)
02065483
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02065483
—
NY
Enumeration date
05/04/2006
Last updated
04/20/2008
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