Healthcare Provider Details

I. General information

NPI: 1043157407
Provider Name (Legal Business Name): IDOC INTERNATIONAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2411 E 4TH ST
BROOKLYN NY
11223-5427
US

IV. Provider business mailing address

2609 E 14TH ST # 287
BROOKLYN NY
11235-3915
US

V. Phone/Fax

Practice location:
  • Phone: 718-629-8940
  • Fax:
Mailing address:
  • Phone: 718-629-8940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DALER RAKHMONOV
Title or Position: CEO
Credential:
Phone: 718-629-8940