Organization
PROACTIVE MED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANASTASIA MALAYDAKH (OWNER)
(347) 406-5207
Entity
Organization
Contact information
Practice address
8328 PARSONS BLVD, JAMAICA, NY 11432-1642
(516) 453-0600
Mailing address
8328 PARSONS BLVD, JAMAICA, NY 11432-1642
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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