MEDICARE: ALLSTATE MEDICAL EQUIPMENT, 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	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1265654420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLSTATE MEDICAL EQUIPMENT, INC.

Provider Business Mailing Address
First Line	:	PO BOX 640155
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-0155
Country	:	US
Telephone Number	:	718-641-3700
Fax Number	:	718-641-9371

Provider Business Practice Location Address
First Line	:	87-10 LIBERTY AVE
Second Line	:
City	:	OZONE PARK
State	:	NY
Zip	:	11417-1327
Country	:	US
Telephone Number	:	718-641-3700
Fax Number	:	718-641-9371

Authorized Official
Title or Position	:	SECTY-TREASURER
Name	:	MS. CAROL DICKERT
Credential	:
Telephone Number	:	718-641-3700

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	08/22/2020

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