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NPI Code Detail

MEDICARE: MERMAID MEDICAL SUPPLY INC

MEDICARE: MERMAID 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1437768223
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERMAID MEDICAL SUPPLY INC
Provider Business Mailing Address
First Line : 2724 MERMAID AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11224-2006
Country : US
Telephone Number : 929-249-3000
Fax Number : 929-249-4000
Provider Business Practice Location Address
First Line : 2724 MERMAID AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11224-2006
Country : US
Telephone Number : 929-249-3000
Fax Number : 929-249-4000
Authorized Official
Title or Position : PRESIDENT
Name : DAVID AGAYEV
Credential :
Telephone Number : 929-249-3000
Provider Enumeration Date : 07/28/2020
Last Update Date : 07/28/2020

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Directions to “MERMAID MEDICAL SUPPLY INC ” Practice Location

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