Provider Demographics
NPI:1255454948
Name:HOWARD BEACH MEDICAL EQUIPMENT CORP
Entity type:Organization
Organization Name:HOWARD BEACH MEDICAL EQUIPMENT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-835-6666
Mailing Address - Street 1:10020 159TH AVE
Mailing Address - Street 2:2ND FL
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-3517
Mailing Address - Country:US
Mailing Address - Phone:718-835-6666
Mailing Address - Fax:718-835-6676
Practice Address - Street 1:10020 159TH AVE
Practice Address - Street 2:2ND FL
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-3517
Practice Address - Country:US
Practice Address - Phone:718-835-6666
Practice Address - Fax:718-835-6676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00491992Medicaid
0618450001Medicare ID - Type Unspecified