Organization
SENIOR MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANVARJON GULOMOV (PRESIDENT)
(707) 460-5959
Entity
Organization
Contact information
Practice address
1109 AVENUE S, BROOKLYN, NY 11223-3346
(929) 778-1414
(929) 335-2511
Mailing address
1109 AVENUE S, BROOKLYN, NY 11223-3346
(929) 778-1414
(929) 335-2511
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
10/27/2025
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