Individual
MAIS ASHIROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 GRAVESEND NECK RD, BROOKLYN, NY 11229-4434
(000) 000-0000
Mailing address
1501 GRAVESEND NECK RD, BROOKLYN, NY 11229-4434
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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