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

Waldbaum Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1003831561

Waldbaum Inc is a Durable Medical Equipment & Medical Supplies in Deer Park, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1960 Deer Park Ave
Deer Park, NY 11729-3327
Phone: (631) 242-0951
Fax: (631) 242-5815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 025839 (NY)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 025839 (NY)
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1003831561
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThe Great Atlantic and Pacific Tea Company Inc
Authorized official Susan Kijowski — Pharmacy Specialist · (201) 571-8326
Other names Waldbaums Pharmacy
NPI enumeratedJuly 13, 2006
Last updated in NPPESNovember 19, 2007
Mailing address1960 Deer Park Ave, Deer Park, NY 11729-3327

Other providers in Deer Park