Provider Demographics
NPI:1881301018
Name:GRAMATAN HEALTH SUPPLIES LLC
Entity type:Organization
Organization Name:GRAMATAN HEALTH SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:VIKRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RAVIKUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-479-5108
Mailing Address - Street 1:145 PALISADE ST STE LL-11
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-1695
Mailing Address - Country:US
Mailing Address - Phone:914-231-6385
Mailing Address - Fax:866-598-4593
Practice Address - Street 1:504 GRAMATAN AVE STE 100
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552-3009
Practice Address - Country:US
Practice Address - Phone:866-786-2624
Practice Address - Fax:866-242-6337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-27
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies