Healthcare Provider Details

I. General information

NPI: 1619489044
Provider Name (Legal Business Name): MEDEQUIPPED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2017
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

747 CHESTNUT RIDGE RD STE 205
SPRING VALLEY NY
10977-6225
US

IV. Provider business mailing address

20 SUTIN PL
SPRING VALLEY NY
10977-6424
US

V. Phone/Fax

Practice location:
  • Phone: 845-237-2381
  • Fax: 845-445-6785
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: YEHUDA SCHNEIDER
Title or Position: OWNER
Credential:
Phone: 845-237-2381