Organization
MEDICAL SUPPLIES NEAR ME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA RAFAILOVA RD, LD, CDN (DIRECTOR)
(917) 498-4211
Entity
Organization
Contact information
Practice address
1117 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-5999
(917) 498-4211
(718) 676-5589
Mailing address
1 W END AVE APT 36A, NEW YORK, NY 10023-8293
(917) 498-4211
(718) 676-5589
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
332H00000X
Eyewear Supplier
—
—
332S00000X
Hearing Aid Equipment
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
335G00000X
Medical Foods Supplier
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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