MEDICARE: BILLI S 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	:	1609710714
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BILLI S LLC

Provider Business Mailing Address
First Line	:	52 HIGH MANOR DR APT 4
Second Line	:
City	:	HENRIETTA
State	:	NY
Zip	:	14467-9123
Country	:	US
Telephone Number	:	914-540-7428
Fax Number	:

Provider Business Practice Location Address
First Line	:	52 HIGH MANOR DR APT 4
Second Line	:
City	:	HENRIETTA
State	:	NY
Zip	:	14467-9123
Country	:	US
Telephone Number	:	914-540-7428
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MISS SIDRA HAYAT
Credential	:
Telephone Number	:	914-540-7428

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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