MEDICARE: DOME INTERNATIONAL 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	332B00000X	Durable Medical Equipment & Medical Supplies		NY

General Provider Information

NPI Number	:	1700846540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOME INTERNATIONAL INC.

Provider Business Mailing Address
First Line	:	24 15TH ST
Second Line	:	SUITE # 205
City	:	BROOKLYN
State	:	NY
Zip	:	11215-4610
Country	:	US
Telephone Number	:	718-854-5500
Fax Number	:	718-369-5858

Provider Business Practice Location Address
First Line	:	24 15TH ST
Second Line	:	SUITE # 205
City	:	BROOKLYN
State	:	NY
Zip	:	11215-4610
Country	:	US
Telephone Number	:	718-854-5500
Fax Number	:	718-369-5858

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DOV BERKOWITZ
Credential	:
Telephone Number	:	718-854-5500

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	07/21/2022

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