Provider Demographics
NPI:1588625537
Name:DURACARE, INC.
Entity Type:Organization
Organization Name:DURACARE, INC.
Other - Org Name:DURACARE HOME MEDICAL EQUIPMENT & SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AGNER
Authorized Official - Middle Name:OCAYA
Authorized Official - Last Name:CAPARAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-429-8838
Mailing Address - Street 1:7518A BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-5611
Mailing Address - Country:US
Mailing Address - Phone:718-429-8838
Mailing Address - Fax:718-429-8483
Practice Address - Street 1:7518A BROADWAY
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-5611
Practice Address - Country:US
Practice Address - Phone:718-429-8838
Practice Address - Fax:718-429-8483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02693227Medicaid
NY02693227Medicaid