Healthcare Provider Details

I. General information

NPI: 1790602142
Provider Name (Legal Business Name): MEDCORE EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7925 150TH ST APT B5
FLUSHING NY
11367-3805
US

IV. Provider business mailing address

7925 150TH ST APT B5
FLUSHING NY
11367-3805
US

V. Phone/Fax

Practice location:
  • Phone: 718-878-1210
  • Fax: 718-878-3911
Mailing address:
  • Phone: 718-878-1210
  • Fax: 718-878-3911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SAMIULLAH BARAK
Title or Position: CEO
Credential:
Phone: 718-878-1210