Individual
DANIEL AKILOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DME
Contact information
Practice address
8022 210TH ST, QUEENS VILLAGE, NY 11427-1011
(917) 418-2225
Mailing address
8022 210TH ST, QUEENS VILLAGE, NY 11427-1011
(917) 418-2225
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NO FAULT WORKERS COMP
—
Enumeration date
08/19/2020
Last updated
08/19/2020
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