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NPI Code Detail

MEDICARE: BMM LIFE ESSENTIAL SEVICES INC

MEDICARE: BMM LIFE ESSENTIAL SEVICES 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1750037750
Entity Type Code : Organization
Provider Name (Legal Business Name) : BMM LIFE ESSENTIAL SEVICES INC
Provider Business Mailing Address
First Line : 6622 11TH AVE STE A
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-5901
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6622 11TH AVE STE A
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-5901
Country : US
Telephone Number : --
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : BRANDEN PENHASOV
Credential :
Telephone Number : --
Provider Enumeration Date : 02/28/2022
Last Update Date : 02/28/2022

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Directions to “BMM LIFE ESSENTIAL SEVICES INC ” Practice Location

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