Bakhramov, Dmitriy
Bakhramov, Dmitriy is an sole proprietor health care provider with primary practice located at 110 Jericho Tpke Ste B4 , Floral Park NY 11001-2019. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Bakhramov, Dmitriy can be contacted via phone (917) 412-7370.Contact Information
Primary practice address
110 Jericho Tpke Ste B4
Floral Park NY 11001-2019
Phone: (917) 412-7370
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 2098686 | New York |
Profile Details
| NPI number | 1366101693 |
|---|---|
| LBN Legal business name | Bakhramov, Dmitriy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2021 |
| Last updated | Dec 14th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366101693 | NPPES |
| New York | Other | 2098686-DCA | SUPPLY |
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