1534 VICTORY DME, LLC; NPI #1255622742

Contact Information

1534 VICTORY DME, LLC

1534 VICTORY BLVD
STATEN ISLAND, NY 10314-3548

Phone: 718-667-3577
Fax: 718-667-3043
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company

Indicates primary specialty

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NPI Profile & details for 1534 VICTORY DME, LLC

NPI #	`1255622742`
LBN Legal business name	1534 VICTORY DME, LLC
Authorized official	KENNETH CHAPMAN - (MEMBER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/02/2011
Last updated	05/03/2011 - About 15 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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