MEDICARE: DME FAMILY CARE, 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	332BN1400X	Nursing Facility Supplies (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1912527490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DME FAMILY CARE, INC

Provider Business Mailing Address
First Line	:	10810 72ND AVE FL 3
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-5338
Country	:	US
Telephone Number	:	718-702-4234
Fax Number	:	845-618-7082

Provider Business Practice Location Address
First Line	:	10810 72ND AVE FL 3
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-5338
Country	:	US
Telephone Number	:	718-702-4234
Fax Number	:	845-618-7082

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MINKYUNG AN
Credential	:
Telephone Number	:	718-702-4234

Provider Enumeration Date	:	04/24/2020
Last Update Date	:	08/21/2020

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