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NPI Code Detail

MEDICARE: CPAS NY LLC

MEDICARE: CPAS NY LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1164728549
Entity Type Code : Organization
Provider Name (Legal Business Name) : CPAS NY LLC
Provider Business Mailing Address
First Line : 752 PARK AVE
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743
Country : US
Telephone Number : 631-944-8328
Fax Number : 631-824-9153
Provider Business Practice Location Address
First Line : 752 PARK AVE
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-3900
Country : US
Telephone Number : 631-944-8328
Fax Number : 631-824-9153
Authorized Official
Title or Position : PARTNER
Name : PETER KRZYZANOWSKI
Credential :
Telephone Number : 631-944-8328
Provider Enumeration Date : 02/02/2011
Last Update Date : 02/02/2011

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Directions to “CPAS NY LLC ” Practice Location

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