ACTIVE LIFE HEALTH OF NY PC

SMITHTOWN, NY
NPI1710445846
Entity TypeOrganization
Authorized ContactJOHN J RUSH
Chairman & Chief Executive Officer
301-928-1697
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2019-03-07
Last Update Date2019-12-04
Business Address
ACTIVE LIFE HEALTH OF NY PC
300 E MAIN ST STE 1
SMITHTOWN, NY 11787-2900
Phone number: 631-656-8796
Mailing Address
ACTIVE LIFE HEALTH OF NY PC
PO BOX 772199
DETROIT, MI 48277-2223
Phone number: 646-586-9333