MEDICARE: MINK INCORPORATED

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	:	1639031537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINK INCORPORATED

Provider Business Mailing Address
First Line	:	2436 YOUNG AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-5726
Country	:	US
Telephone Number	:	929-657-2356
Fax Number	:

Provider Business Practice Location Address
First Line	:	2436 YOUNG AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-5726
Country	:	US
Telephone Number	:	929-657-2356
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ANIEL LOPEZ
Credential	:
Telephone Number	:	347-880-7960

Provider Enumeration Date	:	11/29/2025
Last Update Date	:	11/29/2025

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