OrganizationCoastal Medical SuppliesDurable Medical Equipment & Medical SuppliesSuppliersPractice Address140 Unqua Rd, Massapequa, NY 11758-7519(516) 695-0875PECOS EnrollmentBased on the most recent information from CMS, provider Coastal Medical Supplies does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:00 AM.Profile DetailsProvider ID1912556341Provider TypeOrganizationFull NameCoastal Medical SuppliesSubpartNoEnumeration Date9/9/2019Last Updated9/9/2019Contact InformationPractice LocationPractice Address140 Unqua Rd, Massapequa, NY 11758-7519Phone(516) 695-0875FaxUnlisted FaxMailing LocationMailing Address140 Unqua Rd, Massapequa, NY 11758-7519Phone(516) 695-0875FaxUnlisted FaxAuthorized OfficialNamePellizzi, Lukas (Ceo)Phone(516) 695-0875Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted Issuer