Healthcare Provider Details

I. General information

NPI: 1851587018
Provider Name (Legal Business Name): J & M MEDICAL SUPPLIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 KENT AVE SUITE 224
BROOKLYN NY
11205-1595
US

IV. Provider business mailing address

PO BOX 10487
BROOKLYN NY
11211-0487
US

V. Phone/Fax

Practice location:
  • Phone: 347-432-8608
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNY

VIII. Authorized Official

Name: JOEL BRACH
Title or Position: OWNER
Credential:
Phone: 347-432-8608