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Organization
MEDIQUIP, INC
Active
Organization
MEDIQUIP, INC
Active
Other names
Mediquip Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM N HILL RRT/NPS, AE-C (OWNER/PRESIDENT)
(516) 341-0433
Entity
Organization
Contact information
Practice address
280 BROADWAY, STE D, BETHPAGE, NY 11714-3715
(516) 341-0433
(516) 612-4975
Mailing address
280 BROADWAY, STE D, BETHPAGE, NY 11714-3715
(516) 341-0433
(516) 612-4975
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5308630001
MEDICARE PTAN
—
Enumeration date
06/15/2011
Last updated
08/08/2012
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