MEDICARE: BREAST CANCER THE NEXT STEP 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	332BC3200X	Customized Equipment (DME)

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	:	1578776340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREAST CANCER THE NEXT STEP INC.

Provider Business Mailing Address
First Line	:	30-60 CRESCENT STREET
Second Line	:	SUITE B
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11102-3239
Country	:	US
Telephone Number	:	718-545-7570
Fax Number	:	718-545-8127

Provider Business Practice Location Address
First Line	:	30-60 CRESCENT STREET
Second Line	:	SUITE B
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11102-3239
Country	:	US
Telephone Number	:	718-545-7570
Fax Number	:	718-545-8127

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. RAJ KAMAL VOHRA
Credential	:
Telephone Number	:	718-545-7570

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	08/01/2008

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