Organization
PEGASUS SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL ALAYEV (OWNER)
(917) 497-9100
Entity
Organization
Contact information
Practice address
15 ATLANTIC AVE STE 107, LYNBROOK, NY 11563-3051
(917) 497-9100
Mailing address
15 ATLANTIC AVE STE 107, LYNBROOK, NY 11563-3051
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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