Organization
RESPONSIBLE DME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTUR YUSUPOV (PRESIDENT)
(917) 696-3013
Entity
Organization
Contact information
Practice address
89 ATLANTIC AVE, LYNBROOK, NY 11563-3446
(917) 696-3013
Mailing address
11840 METROPOLITAN AVE APT 4L, KEW GARDENS, NY 11415-2012
(917) 696-3013
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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