MEDICARE: ASAC CARE 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

General Provider Information

NPI Number	:	1760201354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASAC CARE INC

Provider Business Mailing Address
First Line	:	1556 216TH ST FL 2
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11360-1228
Country	:	US
Telephone Number	:	646-229-4167
Fax Number	:

Provider Business Practice Location Address
First Line	:	3238 148TH ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-3259
Country	:	US
Telephone Number	:	332-228-0194
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALVIN SHIN
Credential	:
Telephone Number	:	646-229-4167

Provider Enumeration Date	:	10/09/2024
Last Update Date	:	10/09/2024

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Directions to “ASAC CARE INC ” Practice Location

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