Organization
MK SUPPLY & TECH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA KATAYEVA (PRESIDENT)
(201) 469-5875
Entity
Organization
Contact information
Practice address
188-02 64TH AVE APT 8I, FRESH MEADOWS, NY 11365-3809
(201) 469-5875
Mailing address
PO BOX 825377, PHILADELPHIA, PA 19182-5377
(201) 469-5875
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/24/2019
Last updated
01/10/2020
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