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VITALCARE SUPPLIES CORP
NPI 1013762129
Durable Medical Equipment & Medical Supplies in Astoria, NY

Active since April 22, 2024
3648 CRESCENT ST FL 2, ASTORIA, NY 11106(917) 371-5944 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Durable Medical Equipment & Medical Supp...

About VITALCARE SUPPLIES CORP

This page provides the complete NPI Profile along with additional information for Vitalcare Supplies Corp, a provider established in Astoria, New York operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1013762129 assigned on April 2024. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Moncef Boudhaimi (Owner)

NPI
1013762129 Verify this NPI
Provider Name
VITALCARE SUPPLIES CORP
Entity Type
Organization
Location Address
3648 CRESCENT ST FL 2 ASTORIA, NY 11106
Location Phone
(917) 371-5944
Mailing Address
3648 CRESCENT ST FL 2 ASTORIA, NY 11106
Mailing Phone
(917) 371-5944
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-22-2024
Last Update Date
04-22-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MONCEF BOUDHAIMI

Authorized Official Title
OWNER
Authorized Official Phone
(917) 371-5944

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Frequently Asked Questions

What is VITALCARE SUPPLIES CORP's NPI number?

The NPI number assigned to this healthcare provider is 1013762129, enumerated as an "organization" on April 22, 2024.

Where is the provider located?

The provider is located at 3648 CRESCENT ST FL 2 ASTORIA, NY 11106 and the phone number is (917) 371-5944.

What is the provider's specialty?

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.