Healthcare Provider Details

I. General information

NPI: 1942937263
Provider Name (Legal Business Name): US MOBILE CARE MEDICAL SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2022
Last Update Date: 05/23/2023
Certification Date: 05/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 WALL ST FL 20
NEW YORK NY
10005-2123
US

IV. Provider business mailing address

14 WALL ST FL 20
NEW YORK NY
10005-2123
US

V. Phone/Fax

Practice location:
  • Phone: 347-298-4100
  • Fax: 347-227-1368
Mailing address:
  • Phone: 347-298-4100
  • Fax: 347-227-1368

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: MS. JONA J TAJONERA
Title or Position: CEO
Credential:
Phone: 347-298-4100