MEDICARE: SANDERS FURNITURE, 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	:	1144559022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANDERS FURNITURE, INC.

Provider Business Mailing Address
First Line	:	40 PENN ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11211-7809
Country	:	US
Telephone Number	:	718-624-3400
Fax Number	:	718-624-7624

Provider Business Practice Location Address
First Line	:	40 PENN ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11211-7809
Country	:	US
Telephone Number	:	718-624-3400
Fax Number	:	718-624-7624

Authorized Official
Title or Position	:	VP
Name	:	JOSEPH SANDER
Credential	:
Telephone Number	:	718-624-3400

Provider Enumeration Date	:	12/23/2009
Last Update Date	:	12/23/2009

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