Mik Medical Supply INC
Durable Medical Equipment & Medical Supplies in Brooklyn, NY. Organization (NPI-2).
NPI number1104735570
StatusActive
Last updated in NPPESSep 2, 2026
Details
- NPI
- 1104735570
- Entity type
- Organization (NPI-2)
- Legal business name
- Mik Medical Supply INC
- Organization subpart
- No
- Enumeration date
- Sep 2, 2026
- Certification date
- Sep 2, 2026
- Last updated
- Sep 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
2615 Coney Island Ave Ste 2eBrooklyn, NY 11223-5501
Phone 917-209-3091
Mailing address
2615 Coney Island Ave Ste 2eBrooklyn, NY 11223-5501
Phone 917-209-3091
Authorized official
Mikheil Khechuashvili
Owner & Ceo
9172093091
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