Myrtle Avenue Trading LLC

NPI #1669995007 in Glendale, New York

Provider Information

NPI Number: 1669995007
Entity Type: Organization
Organization Name: Myrtle Avenue Trading LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Jul 18, 2017
Last Updated: Oct 2, 2024

Practice Location

Address: 7611 MYRTLE AVE
City: Glendale
State: New York
ZIP Code: 11385-7446
Phone: (347) 384-2789

Authorized Official

Name: MR. RAKHMIN DEKHKANOV
Title: MEMBER
Phone: (347) 384-2789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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