Organization
MEDICAL SUPPLIES NEAR ME LLC
Active
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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