Healthcare Provider Details

I. General information

NPI: 1598097313
Provider Name (Legal Business Name): VAZ MEDICAL & INDUSTRIAL SAFETY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2010
Last Update Date: 02/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 BEACH AVE
BRONX NY
10473-3612
US

IV. Provider business mailing address

522 BEACH AVE
BRONX NY
10473-3612
US

V. Phone/Fax

Practice location:
  • Phone: 718-861-8517
  • Fax: 718-861-8517
Mailing address:
  • Phone: 718-861-8517
  • Fax: 718-861-8517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number StateNY

VIII. Authorized Official

Name: MR. EMILIO VAZQUEZ
Title or Position: PRESIDENT
Credential: CIVIL ENGINEER PREMD
Phone: 718-861-8517