Healthcare Provider Details

I. General information

NPI: 1396653176
Provider Name (Legal Business Name): COREWELL MEDEX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 E SUNRISE HWY
VALLEY STREAM NY
11581-1220
US

IV. Provider business mailing address

70 E SUNRISE HWY STE 500
VALLEY STREAM NY
11581-1233
US

V. Phone/Fax

Practice location:
  • Phone: 631-378-4198
  • Fax: 631-378-4198
Mailing address:
  • Phone: 631-378-4198
  • Fax: 631-378-4198

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: MR. TAJINDER SINGH
Title or Position: MANAGER
Credential:
Phone: 631-378-4198