Myrtle Avenue Trading LLC
Durable Medical Equipment & Medical Supplies, Customized Equipment in Glendale, NY. Organization (NPI-2).
NPI number1669995007
StatusActive
Last updated in NPPESOct 2, 2024
Details
- NPI
- 1669995007
- Entity type
- Organization (NPI-2)
- Legal business name
- Myrtle Avenue Trading LLC
- Organization subpart
- No
- Enumeration date
- Jul 18, 2017
- Certification date
- Oct 2, 2024
- Last updated
- Oct 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | 2050808-DCA | NY | Yes |
Practice location
7611 Myrtle AveGlendale, NY 11385-7446
Phone 347-384-2789 · Fax 646-968-9971
Mailing address
7611 Myrtle AveGlendale, NY 11385-7446
Phone 347-384-2789 · Fax 646-968-9971
Authorized official
Rakhmin Dekhkanov
Member
3473842789
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Customized Equipment (DME) providers in Glendale, NY
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.