MEDICARE: UNIQUE MEDICAL & ASS. LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		NJ

General Provider Information

NPI Number	:	1003080219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIQUE MEDICAL & ASS. LLC

Provider Business Mailing Address
First Line	:	1646 CENTER AVE
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-4739
Country	:	US
Telephone Number	:	866-490-4242
Fax Number	:

Provider Business Practice Location Address
First Line	:	1646 CENTER AVE
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-4739
Country	:	US
Telephone Number	:	866-490-4242
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ANDRES FERREIRA
Credential	:	RTS
Telephone Number	:	201-481-3507

Provider Enumeration Date	:	04/17/2008
Last Update Date	:	07/21/2022

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