MEDICARE: WENDY'S WALKERS

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	:	1720237506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WENDY'S WALKERS

Provider Business Mailing Address
First Line	:	46 PEBBLE LN
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-2712
Country	:	US
Telephone Number	:	516-484-4312
Fax Number	:	516-706-5448

Provider Business Practice Location Address
First Line	:	46 PEBBLE LN
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-2712
Country	:	US
Telephone Number	:	516-484-4312
Fax Number	:	516-706-5448

Authorized Official
Title or Position	:	V.P.
Name	:	BARRY WAYNE BRODSKY
Credential	:
Telephone Number	:	516-484-4312

Provider Enumeration Date	:	09/16/2008
Last Update Date	:	09/16/2008

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