MEDICARE: ACCESSIBILITY MODIFICATION SOLUTIONS

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		PA

General Provider Information

NPI Number	:	1205286135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESSIBILITY MODIFICATION SOLUTIONS

Provider Business Mailing Address
First Line	:	111 E ALLEGHENY AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19134-2206
Country	:	US
Telephone Number	:	215-917-1928
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 E ALLEGHENY AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19134-2206
Country	:	US
Telephone Number	:	215-917-1928
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. STAMATIA PAPANIKOLAOU
Credential	:
Telephone Number	:	215-917-1929

Provider Enumeration Date	:	06/22/2016
Last Update Date	:	06/22/2016

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Directions to “ACCESSIBILITY MODIFICATION SOLUTIONS ” Practice Location

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