Organization
BRADDOCK EXPRESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL BAYBEKOV (OWNER)
(917) 340-9965
Entity
Organization
Contact information
Practice address
23503 BRADDOCK AVE, QUEENS VILLAGE, NY 11428-1439
(917) 340-9965
Mailing address
23503 BRADDOCK AVE, QUEENS VILLAGE, NY 11428-1439
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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