Provider Demographics
NPI:1053931766
Name:TROMBMED NY INC
Entity type:Organization
Organization Name:TROMBMED NY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:IZIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-747-8698
Mailing Address - Street 1:9851 QUEENS BLVD STE 1D
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-4327
Mailing Address - Country:US
Mailing Address - Phone:718-747-8698
Mailing Address - Fax:
Practice Address - Street 1:9851 QUEENS BLVD STE 1D
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-4327
Practice Address - Country:US
Practice Address - Phone:718-747-8698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-22
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies