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NPI Code Detail

MEDICARE: RAINBOW SUPPLY INC

MEDICARE: RAINBOW 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
1332BC3200XCustomized Equipment (DME)
2332BX2000XOxygen Equipment & Supplies (DME)
3332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22167523OTHERPK

General Provider Information

NPI Number : 1922135565
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAINBOW SUPPLY INC
Provider Business Mailing Address
First Line : 1111 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-5019
Country : US
Telephone Number : 718-375-5875
Fax Number : 646-213-3210
Provider Business Practice Location Address
First Line : 1111 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-5019
Country : US
Telephone Number : 718-375-5875
Fax Number : 646-213-3210
Authorized Official
Title or Position : PRESIDENT
Name : GELENA GOTTO
Credential :
Telephone Number : 718-375-5875
Provider Enumeration Date : 02/28/2007
Last Update Date : 09/19/2023

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