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NPI Code Detail

MEDICARE: WHITE AID MEDICAL SUPPLY INC

MEDICARE: WHITE AID MEDICAL SUPPLY 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
1332BX2000XOxygen Equipment & Supplies (DME)
2332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1093716334
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHITE AID MEDICAL SUPPLY INC
Provider Business Mailing Address
First Line : 674 MYRTLE AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-3950
Country : US
Telephone Number : 718-852-8222
Fax Number : 718-232-3243
Provider Business Practice Location Address
First Line : 674 MYRTLE AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11205
Country : US
Telephone Number : 718-852-8222
Fax Number : 718-232-3243
Authorized Official
Title or Position : CEO
Name : SAMUEL GUTMAN
Credential :
Telephone Number : 718-852-8222
Provider Enumeration Date : 08/09/2005
Last Update Date : 09/23/2024

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Directions to “WHITE AID MEDICAL SUPPLY INC ” Practice Location

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