MEDICARE: B & Y HEALTH SUPPLY, 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	:	1821792219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B & Y HEALTH SUPPLY, INC.

Provider Business Mailing Address
First Line	:	2938 GRACE AVE APT 3
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-3344
Country	:	US
Telephone Number	:	845-401-7947
Fax Number	:

Provider Business Practice Location Address
First Line	:	984 N BROADWAY STE L09
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10701-1319
Country	:	US
Telephone Number	:	845-401-7947
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WILLIAM C COOPER
Credential	:
Telephone Number	:	845-401-7947

Provider Enumeration Date	:	03/29/2023
Last Update Date	:	03/29/2023

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