Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mother Goose Medical Supply, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1063377109

Mother Goose Medical Supply, LLC is a Durable Medical Equipment & Medical Supplies in North Syracuse, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

720 N Main St
North Syracuse, NY 13212-1665
Phone: (315) 385-7011
Fax: (315) 410-5376
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1063377109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marie Fields-Ealey — Ceo · (315) 708-6000
NPI enumeratedDecember 22, 2025
Last updated in NPPESDecember 22, 2025
Certification dateDecember 21, 2025
Mailing address720 N Main St, North Syracuse, NY 13212-1665

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