Provider Demographics
NPI:1366546418
Name:HI-TECH MEDICAL EQUIPMENT
Entity type:Organization
Organization Name:HI-TECH MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MISS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:JURIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-738-6000
Mailing Address - Street 1:PO BOX 190507
Mailing Address - Street 2:
Mailing Address - City:SOUTH RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419-0507
Mailing Address - Country:US
Mailing Address - Phone:718-738-6000
Mailing Address - Fax:718-925-0922
Practice Address - Street 1:10315 101ST ST
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11417-1707
Practice Address - Country:US
Practice Address - Phone:718-738-6000
Practice Address - Fax:718-925-0922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01660448Medicaid
NY1128560001Medicare ID - Type Unspecified