MEDICARE: MERCY HOME CARE & MEDICAL SUPPLY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013911056
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY HOME CARE & MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	2001 MCDONALD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-2818
Country	:	US
Telephone Number	:	718-376-3131
Fax Number	:	718-376-1411

Provider Business Practice Location Address
First Line	:	2001 MCDONALD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-2818
Country	:	US
Telephone Number	:	718-376-3131
Fax Number	:	718-376-1411

Authorized Official
Title or Position	:	CEO
Name	:	MR. JONATHAN EMANUEL GREENSTEIN
Credential	:
Telephone Number	:	718-376-3131

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	10/31/2011

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Directions to “MERCY HOME CARE & MEDICAL SUPPLY ” Practice Location

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