MEDICARE: WASHINGTON MEDICAL CONSULTANT LLC

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	NONE	OTHER	NY	NONE

General Provider Information

NPI Number	:	1851000947
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WASHINGTON MEDICAL CONSULTANT LLC

Provider Business Mailing Address
First Line	:	14307A LAKEWOOD AVE
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11435-5407
Country	:	US
Telephone Number	:	347-854-3430
Fax Number	:

Provider Business Practice Location Address
First Line	:	14307A LAKEWOOD AVE
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11435-5407
Country	:	US
Telephone Number	:	347-854-3430
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. TIFFANY J WASHINGTON
Credential	:
Telephone Number	:	347-854-3430

Provider Enumeration Date	:	11/17/2022
Last Update Date	:	11/17/2022

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Directions to “WASHINGTON MEDICAL CONSULTANT LLC ” Practice Location

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