Healthcare Provider Details
I. General information
NPI: 1659211589
Provider Name (Legal Business Name): NY CAREHOUSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22906 WEINHOLD DR
PLAINFIELD IL
60585-4208
US
IV. Provider business mailing address
22906 WEINHOLD DR
PLAINFIELD IL
60585-4208
US
V. Phone/Fax
- Phone: 630-935-6810
- Fax:
- Phone: 630-935-6810
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MOHAMMAD
I
AFTAB
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 630-935-6810