MEDICARE: DESIGNATED COMPANIES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
3	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1972680379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESIGNATED COMPANIES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 827132
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19182-7132
Country	:	US
Telephone Number	:	716-827-3710
Fax Number	:	716-827-1151

Provider Business Practice Location Address
First Line	:	5858 E. MALLOY RD.
Second Line	:	SUITE 115
City	:	SYRACUSE
State	:	NY
Zip	:	13221-2006
Country	:	US
Telephone Number	:	315-438-3121
Fax Number	:	315-438-3122

Authorized Official
Title or Position	:	COO
Name	:	MR. GREG MCCARTHY
Credential	:
Telephone Number	:	727-530-7700

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	04/07/2016

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