Organization
KATY MED SUPPLY INC
Active
Organization
KATY MED SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKTOR IASENOVYI (OWNER)
(347) 374-2560
Entity
Organization
Contact information
Practice address
114 WILLOWBROOK RD # 1B, STATEN ISLAND, NY 10302-2405
(347) 374-2560
Mailing address
114 WILLOWBROOK RD # 1B, STATEN ISLAND, NY 10302-2405
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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