MEDICARE: GLOBAL UNITED MEDICAL SUPPLIES, 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	332B00000X	Durable Medical Equipment & Medical Supplies	0940157	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	:	1841229945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL UNITED MEDICAL SUPPLIES, INC

Provider Business Mailing Address
First Line	:	1764 CROPSEY AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-6021
Country	:	US
Telephone Number	:	718-375-1100
Fax Number	:	718-745-6735

Provider Business Practice Location Address
First Line	:	1764 CROPSEY AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-6021
Country	:	US
Telephone Number	:	718-375-1100
Fax Number	:	718-745-6735

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. VALERY POGREBCHUK
Credential	:
Telephone Number	:	718-375-1100

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	02/04/2014

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