Healthcare Provider Details

I. General information

NPI: 1588568323
Provider Name (Legal Business Name): MOBILITY EQUIPMENT SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 MARKET ST STE 376
YONKERS NY
10710-7619
US

IV. Provider business mailing address

2747 SEDGWICK AVE APT 3F
BRONX NY
10468-3158
US

V. Phone/Fax

Practice location:
  • Phone: 646-573-0607
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name: HECTOR BRITO
Title or Position: PRESIDENT
Credential:
Phone: 646-573-0607