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NPI Code Detail

MEDICARE: COMMUNITY MEDICAL SUPPLY INC

MEDICARE: COMMUNITY MEDICAL SUPPLY 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
1332B00000XDurable Medical Equipment & Medical Supplies
2332BP3500XParenteral & Enteral Nutrition Supplies (DME)

General Provider Information

NPI Number : 1215148739
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY MEDICAL SUPPLY INC
Provider Business Mailing Address
First Line : 108 UTICA RD
Second Line :
City : CLINTON
State : NY
Zip : 13323-1548
Country : US
Telephone Number : 315-853-6575
Fax Number : 315-853-6587
Provider Business Practice Location Address
First Line : 108 UTICA RD
Second Line :
City : CLINTON
State : NY
Zip : 13323-1548
Country : US
Telephone Number : 315-853-6575
Fax Number : 315-853-6587
Authorized Official
Title or Position : PRESIDENT
Name : MRS. DIANE MARIE HOWE
Credential :
Telephone Number : 315-853-6575
Provider Enumeration Date : 05/25/2007
Last Update Date : 02/11/2008

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Directions to “COMMUNITY MEDICAL SUPPLY INC ” Practice Location

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