MEDICARE: APRIME MEDICAL SUPPLIES

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	:	1578904058
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APRIME MEDICAL SUPPLIES

Provider Business Mailing Address
First Line	:	2055 WILLIAMSBRIDGE RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-1606
Country	:	US
Telephone Number	:	718-684-6984
Fax Number	:	718-709-4331

Provider Business Practice Location Address
First Line	:	2055 WILLIAMSBRIDGE RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-1606
Country	:	US
Telephone Number	:	718-684-6984
Fax Number	:	718-709-4331

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ELLA ABUBAKAR
Credential	:
Telephone Number	:	718-684-6984

Provider Enumeration Date	:	07/11/2013
Last Update Date	:	07/11/2013

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