MEDICARE: EVERYDAY MEDICAL PRODUCTS, LLC

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

General Provider Information

NPI Number	:	1548443047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERYDAY MEDICAL PRODUCTS, LLC

Provider Business Mailing Address
First Line	:	1560 BROADWAY
Second Line	:	SUITE 700
City	:	NEW YORK
State	:	NY
Zip	:	10036-1518
Country	:	US
Telephone Number	:	800-963-0633
Fax Number	:	800-963-0633

Provider Business Practice Location Address
First Line	:	1560 BROADWAY
Second Line	:	SUITE 700
City	:	NEW YORK
State	:	NY
Zip	:	10036-1518
Country	:	US
Telephone Number	:	800-963-0633
Fax Number	:	800-963-0633

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JONATHAN GORDON
Credential	:
Telephone Number	:	800-963-0633

Provider Enumeration Date	:	12/07/2007
Last Update Date	:	10/16/2008

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