MEDICARE: BANGLA CDPAP SERVICES, INC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1225488166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BANGLA CDPAP SERVICES, INC

Provider Business Mailing Address
First Line	:	3738 73RD ST
Second Line	:	1ST FLOOR
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-6270
Country	:	US
Telephone Number	:	646-769-0966
Fax Number	:

Provider Business Practice Location Address
First Line	:	3738 73RD ST
Second Line	:	1ST FLOOR
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-6270
Country	:	US
Telephone Number	:	646-769-0966
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	ABU MAHMOOD
Credential	:
Telephone Number	:	646-769-0966

Provider Enumeration Date	:	06/21/2016
Last Update Date	:	06/21/2016

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