MEDICARE: MC E & J INSPIRATION

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		NY

General Provider Information

NPI Number	:	1932357100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MC E & J INSPIRATION

Provider Business Mailing Address
First Line	:	527 HERKIMER ST FL 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11213-1126
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1614 FULTON ST FL 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11213-1124
Country	:	US
Telephone Number	:	347-651-9295
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JERMAINE A SMITH
Credential	:
Telephone Number	:	347-651-9295

Provider Enumeration Date	:	08/30/2008
Last Update Date	:	08/30/2008

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Directions to “MC E & J INSPIRATION ” Practice Location

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