Organization · Type 2 NPI

Elite Medical Supply Group LLC

Durable Medical Equipment & Medical Supplies · Brooklyn, NY

NPI number 1629623210 Active

Practice location

1071 Brighton Beach Ave
Brooklyn, NY 11235-5602

Fax (347) 406-6100

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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NPI record

NPI: 1629623210
Entity type: Organization (Type 2)
Issued: Aug 9, 2019
Last updated: Mar 6, 2022
Status: Active
Subpart: Yes of Elite Medical Supply Group LLC

Other names

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Elite Medical Supply · doing business as
Elite Medical Supply · doing business as

Authorized official

Mike Kostylev
President
(347) 414-5700

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About NPI 1629623210

Elite Medical Supply Group LLC's National Provider Identifier is 1629623210, issued on Aug 9, 2019. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Brooklyn, NY. The record was last updated on Mar 6, 2022.