MEDICARE: M&M USA 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	332BX2000X	Oxygen Equipment & Supplies (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1326270562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M&M USA INC.

Provider Business Mailing Address
First Line	:	43 MARINO AVE
Second Line	:
City	:	PORT WASHINGTON
State	:	NY
Zip	:	11050-4207
Country	:	US
Telephone Number	:	516-439-4601
Fax Number	:	516-439-4602

Provider Business Practice Location Address
First Line	:	43 MARINO AVE
Second Line	:
City	:	PORT WASHINGTON
State	:	NY
Zip	:	11050-4207
Country	:	US
Telephone Number	:	516-439-4601
Fax Number	:	516-439-4602

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MISS METRA ZAHIR
Credential	:
Telephone Number	:	516-439-4601

Provider Enumeration Date	:	08/21/2009
Last Update Date	:	08/21/2009

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