MEDICARE: GARDEN COURT SURGICAL AND HOSPITAL SUPPLY CORP

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

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

General Provider Information

NPI Number	:	1306990619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARDEN COURT SURGICAL AND HOSPITAL SUPPLY CORP

Provider Business Mailing Address
First Line	:	9131 BEDELL LN
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-3242
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9131 BEDELL LN
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-3242
Country	:	US
Telephone Number	:	718-257-1800
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHANOCH Z HOROWITZ
Credential	:
Telephone Number	:	718-257-1800

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	08/20/2007

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