Active NPIIndividual providerSole proprietor

Dmitriy Bakhramov Sr.

Durable Medical Equipment & Medical Supplies in Floral Park, New York

NPI Number1366101693
Practice location
110 Jericho Tpke Ste B4, Floral Park, NY 11001-2019
Fax
—
Last updated
December 14, 2021

Dmitriy Bakhramov is a Durable Medical Equipment & Medical Supplies based in Floral Park, NY. Dmitriy Bakhramov practices in Floral Park, NY. The NPI Number for Dmitriy Bakhramov is 1366101693 and holds a License No. 2098686 (NY). The current practice location address for Dmitriy Bakhramov is 110 Jericho Tpke Ste B4, Floral Park, NY 11001-2019 and can be reached out via phone at 917-412-7370.

Provider Profile Details

NPI Number
1366101693
Provider Name
Dmitriy Bakhramov
Provider Entity Type
Individual
Gender
Male
Address
110 Jericho Tpke Ste B4, Floral Park, NY 11001-2019
Phone Number
917-412-7370
Primary Taxonomy
Durable Medical Equipment & Medical Supplies · 332B00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 14, 2021
Last Update Date
December 14, 2021
Certification Date
December 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Jericho Tpke Ste B4
Floral Park, NY 11001-2019
Zip
11001-2019
Phone Number
917-412-7370
Floral Park, NY 11001Get directions →

Provider Business Mailing Address Details

Address
110 Jericho Tpke Ste B4
Floral Park, NY 11001-2019
City
Floral Park
State
NY
Zip
11001-2019
Phone Number
917-412-7370

License Information

License Number
2098686
License State
NY
Taxonomy
Durable Medical Equipment & Medical Supplies · 332B00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dmitriy Bakhramov Sr.?

The NPI number of Dmitriy Bakhramov Sr. is 1366101693. It was assigned on December 14, 2021 and is currently active in the NPPES registry.

What is the specialty of Dmitriy Bakhramov Sr.?

Dmitriy Bakhramov Sr. is registered under the primary taxonomy Durable Medical Equipment & Medical Supplies (code 332B00000X), licensed in NY under license number 2098686.

Where does Dmitriy Bakhramov Sr. practice?

The practice location is 110 Jericho Tpke Ste B4, Floral Park, NY 11001-2019. The office can be reached at 917-412-7370 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366101693 directly on the NPPES registry website.

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