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Dmitriy Bakhramov SR.
Durable Medical Equipment & Medical Supplies in Floral Park, New York
NPI 1366101693

Dmitriy Bakhramov SR. is a Durable Medical Equipment & Medical Supplies based in Floral Park, NY. Dmitriy Bakhramov SR. practices in Floral Park, NY. The NPI Number for Dmitriy Bakhramov SR. is 1366101693 and holds a License No. 2098686 (New York).

The current practice location address for Dmitriy Bakhramov SR. is 110 Jericho Tpke Ste B4, Floral Park, NY and can be reached out via phone at 917-412-7370.

Location: 110 Jericho Tpke Ste B4, Floral Park, NY, 11001-2019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366101693
Provider Name
Dmitriy Bakhramov SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
110 Jericho Tpke Ste B4, Floral Park, NY, 11001-2019
Phone Number
917-412-7370
Fax Number
Provider Enumeration Date
12/14/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2098686-DCA 01 NY SUPPLY
institution
Provider Business Practice Location Address Details
Address
110 Jericho Tpke Ste B4
City
Floral Park
State
New York
Zip
11001-2019
Phone Number
917-412-7370
Fax Number
person
Provider Business Mailing Address Details
Address
110 Jericho Tpke Ste B4
City
Floral Park
State
New York
Zip
11001-2019
Phone Number
917-412-7370
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
2098686 (New York)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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