OrganizationActive
Active Life Medical PLLC
NPI 1104436237 · Durable Medical Equipment & Medical Supplies · White Plains, NY
Provider details
- NPI number
- 1104436237
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Authorized official
- John Rush, Chairman & Chief Executive Officer
Practice location
311 North St Ste 406
White Plains, NY 10605-2217
Phone: (914) 785-7752
Fax: (914) 363-0966
Mailing address
311 North St Ste 406
White Plains, NY 10605-2217
Registry dates
- Enumerated
- 2020-08-04
- Last updated
- 2020-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.