MEDICARE: V-CARE SUPPLIES 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

General Provider Information

NPI Number	:	1992032197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	V-CARE SUPPLIES CORP

Provider Business Mailing Address
First Line	:	2741 E 28TH ST
Second Line	:	APT 6B
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2453
Country	:	US
Telephone Number	:	917-405-7351
Fax Number	:

Provider Business Practice Location Address
First Line	:	2741 E 28TH ST
Second Line	:	APT 6B
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2453
Country	:	US
Telephone Number	:	917-405-7351
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. VALERY RISIN
Credential	:
Telephone Number	:	917-405-7351

Provider Enumeration Date	:	11/09/2009
Last Update Date	:	11/09/2009

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