# AVENZA SUPPLY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346154135
- **Authorized official:** KASIMOV AZAMAT (FOUNDER)
- **Authorized official phone:** (202) 482-9059

## Contact information

- **Practice address:** 3 OLSEN ST, VALLEY STREAM, NY 11580-1019
- **Practice address phone:** (202) 482-9059
- **Mailing address:** 3 OLSEN ST, VALLEY STREAM, NY 11580-1019
- **Mailing address phone:** (202) 482-9059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/30/2026
- **Last updated:** 09/30/2026