MEDICARE: MEDACURE 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		NY

General Provider Information

NPI Number	:	1053723213
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDACURE INC.

Provider Business Mailing Address
First Line	:	4718 18TH AVE
Second Line	:	SUITE 151
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1260
Country	:	US
Telephone Number	:	718-596-1120
Fax Number	:	718-596-2487

Provider Business Practice Location Address
First Line	:	63 FLUSHING AVE
Second Line	:	BROOKLYN NAVY YARD, BLDG. 131, ROOM 203
City	:	BROOKLYN
State	:	NY
Zip	:	11205-1005
Country	:	US
Telephone Number	:	718-596-1120
Fax Number	:	718-596-2487

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DAVID ZYTMAN
Credential	:
Telephone Number	:	718-596-1120

Provider Enumeration Date	:	05/22/2014
Last Update Date	:	05/22/2014

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