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NPI Code Detail

MEDICARE: MURIEL'S HEART INC

MEDICARE: MURIEL'S HEART 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
1251E00000XHome Health Agency1544L001NY

General Provider Information

NPI Number : 1851804454
Entity Type Code : Organization
Provider Name (Legal Business Name) : MURIEL'S HEART INC
Provider Business Mailing Address
First Line : 28 MELROSE ST FL 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-6012
Country : US
Telephone Number : 516-280-9361
Fax Number : 718-439-8568
Provider Business Practice Location Address
First Line : 430 W MERRICK RD STE 10
Second Line :
City : VALLEY STREAM
State : NY
Zip : 11580-5201
Country : US
Telephone Number : 718-285-0207
Fax Number : 718-285-0207
Authorized Official
Title or Position : CLAIMS OFFICER
Name : MS. SANDY RICHMOND
Credential :
Telephone Number : 516-280-9361
Provider Enumeration Date : 11/06/2017
Last Update Date : 11/06/2017

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Directions to “MURIEL'S HEART INC ” Practice Location

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