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NPI Code Detail

MEDICARE: GRADE III MEDICAL CONCEPTS INC.

MEDICARE: GRADE III MEDICAL CONCEPTS 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1255519989
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRADE III MEDICAL CONCEPTS INC.
Provider Business Mailing Address
First Line : 628 BEVERLEY RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3202
Country : US
Telephone Number : 718-431-8885
Fax Number :
Provider Business Practice Location Address
First Line : 628 BEVERLEY RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3202
Country : US
Telephone Number : 718-431-8885
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. TEKCHAND THAKURDIAL
Credential :
Telephone Number : 718-431-8885
Provider Enumeration Date : 02/05/2008
Last Update Date : 11/21/2008

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Directions to “GRADE III MEDICAL CONCEPTS INC. ” Practice Location

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