MEDICARE: MEDICAL EQUIPMENT REPAIRS & DISTRIBUTION 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780782458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL EQUIPMENT REPAIRS & DISTRIBUTION INC.

Provider Business Mailing Address
First Line	:	6920 20TH AVENUE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204
Country	:	US
Telephone Number	:	718-236-0200
Fax Number	:	718-236-3306

Provider Business Practice Location Address
First Line	:	6920 20TH AVENUE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204
Country	:	US
Telephone Number	:	718-236-0200
Fax Number	:	718-236-3306

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. TENGIZ AGAYEV
Credential	:
Telephone Number	:	718-236-0200

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	04/24/2025

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