Organization
HEALTH SUPPORT MEDIC SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORKHAN YUSUFOV (OWNER/PRESIDENT)
(917) 478-0410
Entity
Organization
Contact information
Practice address
7608 18TH AVE, HEALTH SUPPORT MEDICAL SUPPLY INC, BROOKLYN, NY 11214
(718) 621-6090
(718) 621-6092
Mailing address
PO BOX 1400003, HEALTH SUPPORT MEDICAL SUPPLY INC, BROOKLYN, NY 11214-0003
(718) 621-6090
(718) 621-6092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02369726
—
NY
Enumeration date
12/08/2005
Last updated
03/08/2021
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