Healthcare Provider Details

I. General information

NPI: 1528594140
Provider Name (Legal Business Name): INTERNATIONAL PROCUREMENT SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2017
Last Update Date: 05/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 PRIMROSE LN
KINGS PARK NY
11754-3931
US

IV. Provider business mailing address

25 PRIMROSE LN
KINGS PARK NY
11754-3931
US

V. Phone/Fax

Practice location:
  • Phone: 631-455-8625
  • Fax:
Mailing address:
  • Phone: 631-455-8625
  • Fax:

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 Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DEBBIE HERNANDEZ
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 631-455-8625