Provider Demographics
NPI:1942464292
Name:B C R MEDICAL SUPPLIES GROUP LLC.
Entity Type:Organization
Organization Name:B C R MEDICAL SUPPLIES GROUP LLC.
Other - Org Name:ACCESS MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-206-1308
Mailing Address - Street 1:PO BOX 313004
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11431-3004
Mailing Address - Country:US
Mailing Address - Phone:718-206-1308
Mailing Address - Fax:718-408-9484
Practice Address - Street 1:11227 GUY R BREWER BLVD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11433-3829
Practice Address - Country:US
Practice Address - Phone:718-206-1308
Practice Address - Fax:718-408-9484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03160583Medicaid
NY03160583Medicaid