MEDICARE: SHEVY, 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	:	1205498946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHEVY, INC

Provider Business Mailing Address
First Line	:	1884 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-6513
Country	:	US
Telephone Number	:	718-336-5111
Fax Number	:

Provider Business Practice Location Address
First Line	:	1884 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-6513
Country	:	US
Telephone Number	:	718-336-5111
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ELON EMANUEL
Credential	:
Telephone Number	:	718-336-5111

Provider Enumeration Date	:	07/02/2019
Last Update Date	:	07/02/2019

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Directions to “SHEVY, INC ” Practice Location

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