MODIFICATIONS & EQUIPMENT FOR INDEPENDENT LIVING


Address: 339 Smith Hill Rd, Troy, NY 12180-8985
Phone: 5182790888

MODIFICATIONS & EQUIPMENT FOR INDEPENDENT LIVING (NPI# 1003033887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003033887
Entity Type Organization
Organization Name MODIFICATIONS & EQUIPMENT FOR INDEPENDENT LIVING
Practice Address 339 Smith Hill Rd
Troy
NY 12180-8985
Practice Telephone 5182790888
Practice Fax Number 5182791560
Mailing Telephone 5182790888
Mailing Fax Number 5182791560
Enumeration Date 2007-04-20
Last Update Date 2008-07-16
Authorized Official Name RICHARD JOHN LEMNER (OWNER)
Authorized Official Telephone 5182790888
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
NY Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NY 01807845 05
NY 01884220 05
NY HMO DME PROVIDER 000402661000 01
NY HMO DME PROVIDER 10070305 01
NY TBI 01884220 01

Office Location

Street Address 339 SMITH HILL RD
City TROY
State NY
Zip Code 12180-8985

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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

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City TROY
Zip Code 12180

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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