Organization
EAGLE NY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHVICHA BERULAVA (PRESIDENT)
(347) 781-6115
Entity
Organization
Contact information
Practice address
1539 FRANKLIN AVE RM 301, MINEOLA, NY 11501-4835
(347) 781-6115
Mailing address
1539 FRANKLIN AVE RM 301, MINEOLA, NY 11501-4835
(347) 781-6115
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/29/2025
Last updated
01/19/2026
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