Organization
BORBAS SURGICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE KHODY (CEO)
(186) 767-9917
Entity
Organization
Contact information
Practice address
2034 BATH AVE, BROOKLYN, NY 11214-5278
(718) 676-7991
(718) 676-7992
Mailing address
2034 BATH AVE, BROOKLYN, NY 11214-4806
(718) 676-7991
(718) 676-7992
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1067230
NY
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03494204
—
NY
Enumeration date
03/06/2007
Last updated
09/12/2022
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