Healthcare Provider Details

I. General information

NPI: 1255454948
Provider Name (Legal Business Name): HOWARD BEACH MEDICAL EQUIPMENT CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 10/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10020 159TH AVE 2ND FL
HOWARD BEACH NY
11414-3517
US

IV. Provider business mailing address

10020 159TH AVE 2ND FL
HOWARD BEACH NY
11414-3517
US

V. Phone/Fax

Practice location:
  • Phone: 718-835-6666
  • Fax: 718-835-6676
Mailing address:
  • Phone: 718-835-6666
  • Fax: 718-835-6676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: HOWARD HELLER
Title or Position: PRESIDENT
Credential:
Phone: 718-835-6666