# MEDIQUIP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mediquip Homecare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417242611
- **Authorized official:** MR. WILLIAM N HILL RRT/NPS, AE-C (OWNER/PRESIDENT)
- **Authorized official phone:** (516) 341-0433

## Contact information

- **Practice address:** 280 BROADWAY, STE D, BETHPAGE, NY 11714-3715
- **Practice address phone:** (516) 341-0433
- **Practice address fax:** (516) 612-4975
- **Mailing address:** 280 BROADWAY, STE D, BETHPAGE, NY 11714-3715
- **Mailing address phone:** (516) 341-0433
- **Mailing address fax:** (516) 612-4975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 06/15/2011
- **Last updated:** 08/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5308630001 | MEDICARE PTAN | — |