Organization
PROLIFE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS AGAYEV (PRESIDENT)
(718) 567-6700
Entity
Organization
Contact information
Practice address
7A BRIGHTON 1ST RD, BROOKLYN, NY 11235-7602
(718) 567-6700
Mailing address
7A BRIGHTON 1ST RD, BROOKLYN, NY 11235-7602
(718) 567-6700
(718) 691-0521
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
04/01/2026
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