MEDICARE: ACCESSIBLE MED SUPPLY

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	:	1780946400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESSIBLE MED SUPPLY

Provider Business Mailing Address
First Line	:	4918 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3344
Country	:	US
Telephone Number	:	718-916-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	4918 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3344
Country	:	US
Telephone Number	:	718-916-5700
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOEL FRIEDMAN
Credential	:
Telephone Number	:	718-916-5700

Provider Enumeration Date	:	06/08/2012
Last Update Date	:	06/08/2012

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Directions to “ACCESSIBLE MED SUPPLY ” Practice Location

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