1801066626 NPI number — ASSISTIVE DEVICE SUPPLIES, LLC

Table of content: DR. DAVID C. BROOKS M.D. (NPI 1306818836)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801066626 NPI number — ASSISTIVE DEVICE SUPPLIES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASSISTIVE DEVICE SUPPLIES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801066626
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 441
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOMERS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10589-0441
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-373-6520
Provider Business Mailing Address Fax Number:
914-373-6521

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
189 ROUTE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOMERS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10589
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-373-6520
Provider Business Practice Location Address Fax Number:
914-373-6521
Provider Enumeration Date:
03/07/2008

Additional Information

Authorized Official

Authorized Official Last Name:
MEHRA
Authorized Official First Name:
SANJAY
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
914-373-6520

Provider Taxonomy Codes

  • Taxonomy code: 332BN1400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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