MEDICARE: HELEN MEDICAL SUPPLIES 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	0976719	NY

General Provider Information

NPI Number	:	1386710713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELEN MEDICAL SUPPLIES INC

Provider Business Mailing Address
First Line	:	1909 WEST 9TH STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-2547
Country	:	US
Telephone Number	:	718-714-5544
Fax Number	:	718-714-9291

Provider Business Practice Location Address
First Line	:	1909 WEST 9TH STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-2547
Country	:	US
Telephone Number	:	718-714-5544
Fax Number	:	718-714-9291

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SEMYON TUBIS
Credential	:
Telephone Number	:	718-714-5544

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	08/22/2020

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