Healthcare Provider Details

I. General information

NPI: 1174853006
Provider Name (Legal Business Name): HEALTH LINK PLUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/25/2009
Last Update Date: 12/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 HAWTHORNE AVE 8
YONKERS NY
10701-7516
US

IV. Provider business mailing address

35 HAWTHORNE AVE 8
YONKERS NY
10701-7516
US

V. Phone/Fax

Practice location:
  • Phone: 914-751-5156
  • Fax:
Mailing address:
  • Phone: 914-751-5156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1338103
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number1338103
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number1338103
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number1338103
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number1338103
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number1338103
License Number StateNY

VIII. Authorized Official

Name: TEESHA SIMPSON
Title or Position: PRESIDENT
Credential:
Phone: 914-751-5156