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NPI Code Detail

MEDICARE: A&G MEDICAL SUPPLY

MEDICARE: A&G MEDICAL SUPPLY
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
1332B00000XDurable Medical Equipment & Medical Supplies1416768NY

General Provider Information

NPI Number : 1508138371
Entity Type Code : Organization
Provider Name (Legal Business Name) : A&G MEDICAL SUPPLY
Provider Business Mailing Address
First Line : 1040 MORRIS PARK AVE
Second Line :
City : BRONX
State : NY
Zip : 10461
Country : US
Telephone Number : 718-823-4700
Fax Number : 718-823-4800
Provider Business Practice Location Address
First Line : 1040 MORRIS PARK AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-1411
Country : US
Telephone Number : 718-823-4700
Fax Number : 718-823-4800
Authorized Official
Title or Position : PRESIDENT
Name : MR. GIORGIO MASELLI
Credential :
Telephone Number : 718-823-4700
Provider Enumeration Date : 02/08/2012
Last Update Date : 02/08/2012

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Directions to “A&G MEDICAL SUPPLY ” Practice Location

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