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NPI Code Detail

MEDICARE: JULECOR DBA FRENCH SECRETS LINGERIE

MEDICARE: JULECOR DBA FRENCH SECRETS LINGERIE
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1053596957
Entity Type Code : Organization
Provider Name (Legal Business Name) : JULECOR DBA FRENCH SECRETS LINGERIE
Provider Business Mailing Address
First Line : 326 NEW DORP LN
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-3035
Country : US
Telephone Number : 718-979-3522
Fax Number :
Provider Business Practice Location Address
First Line : 326 NEW DORP LN
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-3035
Country : US
Telephone Number : 718-979-3522
Fax Number :
Authorized Official
Title or Position : BILLER
Name : MS. DEBRA TOMPKINS
Credential :
Telephone Number : 718-979-3522
Provider Enumeration Date : 01/09/2008
Last Update Date : 01/09/2008

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Directions to “JULECOR DBA FRENCH SECRETS LINGERIE ” Practice Location

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