MEDICARE: MAYFLOWER MEDICAL SUPPLIES COMPANY, 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)	304381	NY

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	:	1497755722
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAYFLOWER MEDICAL SUPPLIES COMPANY, INC.

Provider Business Mailing Address
First Line	:	1726 86TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-3716
Country	:	US
Telephone Number	:	718-259-9500
Fax Number	:	718-837-8178

Provider Business Practice Location Address
First Line	:	1726 86TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-3716
Country	:	US
Telephone Number	:	718-259-9500
Fax Number	:	718-837-8178

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. MARK M SANTO
Credential	:
Telephone Number	:	718-259-9500

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	09/22/2008

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