Danylo Fedotov
Durable Medical Equipment & Medical Supplies in Brooklyn, NY. Individual provider (NPI-1).
NPI number1407612682
StatusActive
Last updated in NPPESFeb 26, 2024
Details
- NPI
- 1407612682
- Entity type
- Individual (NPI-1)
- Name
- Danylo Fedotov
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 26, 2024
- Certification date
- Feb 25, 2024
- Last updated
- Feb 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2108052DCA | NY | Yes |
Practice location
621 Brighton Beach Ave Ste 215Brooklyn, NY 11235-6405
Phone 347-728-7774
Mailing address
Po Box 240430Brooklyn, NY 11224-0430
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