MEDICARE: DNA MANAGEMENT CORP.

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	006137	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1932265428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DNA MANAGEMENT CORP.

Provider Business Mailing Address
First Line	:	159 1ST AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-2906
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	159 1ST AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-2906
Country	:	US
Telephone Number	:	212-228-0950
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NATAN DORFMAN
Credential	:
Telephone Number	:	212-228-0950

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	06/05/2008

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Directions to “DNA MANAGEMENT CORP. ” Practice Location

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