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General NPI Number Information
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NPI Number | 1235007774
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Entity Type | Organization
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Legal Business Name | EMPIRE DME SUPPLY SERVICES CORPORATION
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 350 NORTHERN BLVD STE 323
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City | GREAT NECK
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State | NY
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Zip | 11021-4809
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Country | US
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Telephone | 516-487-5044
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Fax | 516-614-4188
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Provider Business Mailing Address
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Address Line | 350 NORTHERN BLVD STE 323
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City | GREAT NECK
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State | NY
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Zip | 11021-4809
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Country | US
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Telephone | 516-487-5044
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Fax | 516-614-4188
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Authorized Official
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Title or Position | MANAGER
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Name | RACHEL MIZRAHI
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Credential |
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Telephone | 516-487-5044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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