MEDICARE: APPROVED 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
1	332B00000X	Durable Medical Equipment & Medical Supplies	1240143	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1240143	OTHER	NY	DCA LICENSE NUMBERS

General Provider Information

NPI Number	:	1255428652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPROVED MEDICAL SUPPLY INC.

Provider Business Mailing Address
First Line	:	423 SARATOGA AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11233-4708
Country	:	US
Telephone Number	:	718-230-8701
Fax Number	:	718-230-8707

Provider Business Practice Location Address
First Line	:	423 SARATOGA AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11233-4708
Country	:	US
Telephone Number	:	718-230-8701
Fax Number	:	718-230-8707

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SUNDAY WILLIAMS
Credential	:
Telephone Number	:	718-685-6343

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	06/06/2016

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