Organization
CRICKET MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YACOV HAIM KHAIMOV (PRESIDENT)
(347) 596-4365
Entity
Organization
Contact information
Practice address
9417 63RD DR, REGO PARK, NY 11374-2027
(347) 596-4365
Mailing address
9417 63RD DR, REGO PARK, NY 11374-2027
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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