MEDICARE: FIVE STAR EXAMS

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	:	1255622478
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIVE STAR EXAMS

Provider Business Mailing Address
First Line	:	5014-16 AVE
Second Line	:	SUITE 181
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1404
Country	:	US
Telephone Number	:	917-701-5900
Fax Number	:	718-865-4297

Provider Business Practice Location Address
First Line	:	5014 16TH AVE
Second Line	:	SUITE 181
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1404
Country	:	US
Telephone Number	:	917-701-5900
Fax Number	:	718-865-4297

Authorized Official
Title or Position	:	VP
Name	:	GARY GUTTMAN
Credential	:	EMT
Telephone Number	:	917-701-5900

Provider Enumeration Date	:	04/21/2011
Last Update Date	:	05/17/2011

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Directions to “FIVE STAR EXAMS ” Practice Location

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