Healthcare Provider Details

I. General information

NPI: 1457167454
Provider Name (Legal Business Name): UNITED HANDS ORGANIZATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2024
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 W 16TH ST
BROOKLYN NY
11224-2786
US

IV. Provider business mailing address

2825 W 16TH ST
BROOKLYN NY
11224-2786
US

V. Phone/Fax

Practice location:
  • Phone: 917-463-9138
  • Fax: 347-713-4022
Mailing address:
  • Phone: 917-463-9138
  • Fax: 347-713-4022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number
License Number State

VIII. Authorized Official

Name: VADIM AGAFONOV
Title or Position: CEO
Credential:
Phone: 917-463-9138