MEDICARE: CHELSEA MEDICAL EQUIPMENT AND MOBILITY CENTER, LTD.

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	:	1578710828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHELSEA MEDICAL EQUIPMENT AND MOBILITY CENTER, LTD.

Provider Business Mailing Address
First Line	:	327 8TH AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10001-4807
Country	:	US
Telephone Number	:	212-255-5522
Fax Number	:	212-255-4686

Provider Business Practice Location Address
First Line	:	327 8TH AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10001-4807
Country	:	US
Telephone Number	:	212-255-5522
Fax Number	:	212-255-4686

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MICHAEL LIEBERMAN
Credential	:
Telephone Number	:	212-255-5522

Provider Enumeration Date	:	08/19/2008
Last Update Date	:	08/19/2008

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