Organization
VAN LOON DME USA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS A ISKHAKOV (PRESIDENT)
(917) 508-0210
Entity
Organization
Contact information
Practice address
5216 VAN LOON ST STE 1A, FLUSHING, NY 11373-4267
(917) 508-0210
(631) 490-8782
Mailing address
5216 VAN LOON ST STE 1A, FLUSHING, NY 11373-4267
(917) 508-0210
(631) 490-8782
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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