MEDICARE: MEDPRO DME INC

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

General Provider Information

NPI Number	:	1033983887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDPRO DME INC

Provider Business Mailing Address
First Line	:	3901 MAIN ST STE 400B
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5483
Country	:	US
Telephone Number	:	718-878-5361
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 MAIN ST STE 400B
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5483
Country	:	US
Telephone Number	:	718-878-5361
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HUI KWOK
Credential	:
Telephone Number	:	718-878-5361

Provider Enumeration Date	:	11/13/2023
Last Update Date	:	11/13/2023

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Directions to “MEDPRO DME INC ” Practice Location

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