MEDICARE: UNIVERSAL CARE MEDICAL SUPPLY, 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	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	:	1437389764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL CARE MEDICAL SUPPLY, INC

Provider Business Mailing Address
First Line	:	2946 AVENUE S STE 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3229
Country	:	US
Telephone Number	:	718-509-6709
Fax Number	:	718-975-3829

Provider Business Practice Location Address
First Line	:	2946 AVENUE S STE 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3229
Country	:	US
Telephone Number	:	718-509-6709
Fax Number	:	718-975-3829

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LINA KVASNITSKA
Credential	:
Telephone Number	:	718-509-6709

Provider Enumeration Date	:	07/21/2009
Last Update Date	:	10/01/2025

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