MEDICARE: VINTAGE ELITE SOLUTIONS LLC

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	:	1720935083
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VINTAGE ELITE SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	13 MAGNOLIA ST
Second Line	:
City	:	CENTEREACH
State	:	NY
Zip	:	11720-1712
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13 MAGNOLIA ST
Second Line	:
City	:	CENTEREACH
State	:	NY
Zip	:	11720-1712
Country	:	US
Telephone Number	:	929-413-5442
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	SYED SARWAR JAFFERY
Credential	:
Telephone Number	:	929-413-5442

Provider Enumeration Date	:	03/14/2026
Last Update Date	:	03/14/2026

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Directions to “VINTAGE ELITE SOLUTIONS LLC ” Practice Location

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