MEDICARE: CCY SERVICES 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

General Provider Information

NPI Number	:	1326647033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CCY SERVICES CORP

Provider Business Mailing Address
First Line	:	2300 W 84TH ST STE 408
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-5780
Country	:	US
Telephone Number	:	305-951-4014
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 W 84TH ST STE 408
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-5780
Country	:	US
Telephone Number	:	305-951-4014
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MISS OLGA RAMIREZ MATO
Credential	:
Telephone Number	:	305-301-8233

Provider Enumeration Date	:	10/22/2020
Last Update Date	:	06/03/2021

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