Provider Demographics
NPI:1992428056
Name:NEMETS, EUGENE
Entity type:Individual
Prefix:
First Name:EUGENE
Middle Name:
Last Name:NEMETS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7315 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-5787
Mailing Address - Country:US
Mailing Address - Phone:718-676-1320
Mailing Address - Fax:718-676-1321
Practice Address - Street 1:7315 20TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-5787
Practice Address - Country:US
Practice Address - Phone:718-676-1320
Practice Address - Fax:718-676-1321
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-23
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1371541-DCA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies