MEDICARE: CPM MED 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	:	1881026326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CPM MED SUPPLY INC

Provider Business Mailing Address
First Line	:	2416 65TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-4136
Country	:	US
Telephone Number	:	973-850-3121
Fax Number	:

Provider Business Practice Location Address
First Line	:	2416 65TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-4136
Country	:	US
Telephone Number	:	973-850-3121
Fax Number	:	973-846-7077

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TAMERLAN IFFRAIMOV
Credential	:
Telephone Number	:	718-878-5552

Provider Enumeration Date	:	08/07/2013
Last Update Date	:	09/16/2024

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