MEDICARE: HOME CARE SURGICAL SUPPLIES, 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	:	1821166034
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE SURGICAL SUPPLIES, INC

Provider Business Mailing Address
First Line	:	66 BELMONT AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-6705
Country	:	US
Telephone Number	:	718-345-2323
Fax Number	:	718-345-2221

Provider Business Practice Location Address
First Line	:	66 BELMONT AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-6705
Country	:	US
Telephone Number	:	718-345-2323
Fax Number	:	718-345-2221

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. IGOR GITLIN
Credential	:
Telephone Number	:	718-345-2323

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	08/22/2020

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