MEDICARE: NEW BEGINNINGS UNLIMITED

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	1277818	NY

General Provider Information

NPI Number	:	1104152891
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BEGINNINGS UNLIMITED

Provider Business Mailing Address
First Line	:	6303 20TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-3050
Country	:	US
Telephone Number	:	718-234-2255
Fax Number	:	718-234-2257

Provider Business Practice Location Address
First Line	:	6303 20TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-3050
Country	:	US
Telephone Number	:	718-234-2255
Fax Number	:	718-234-2257

Authorized Official
Title or Position	:	SOLE PROPRIETOR
Name	:	MS. MARIA M NIEVES
Credential	:
Telephone Number	:	718-234-2255

Provider Enumeration Date	:	10/30/2009
Last Update Date	:	10/30/2009

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