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NPI Code Detail

MEDICARE: PREMCO, INC.

MEDICARE: PREMCO, 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 : 1568684892
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMCO, INC.
Provider Business Mailing Address
First Line : PO BOX 266
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10802-0266
Country : US
Telephone Number : 914-636-7095
Fax Number :
Provider Business Practice Location Address
First Line : 11 BEECHWOOD AVE
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10801-6818
Country : US
Telephone Number : 914-636-7095
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. HAROLD HACOBS
Credential :
Telephone Number : 914-636-7095
Provider Enumeration Date : 05/03/2007
Last Update Date : 08/22/2020

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