Healthcare Provider Details

I. General information

NPI: 1104735570
Provider Name (Legal Business Name): MIK MEDICAL SUPPLY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 CONEY ISLAND AVE STE 2E
BROOKLYN NY
11223-5501
US

IV. Provider business mailing address

2615 CONEY ISLAND AVE STE 2E
BROOKLYN NY
11223-5501
US

V. Phone/Fax

Practice location:
  • Phone: 917-209-3091
  • Fax:
Mailing address:
  • Phone: 917-209-3091
  • 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: MIKHEIL KHECHUASHVILI
Title or Position: OWNER & CEO
Credential:
Phone: 917-209-3091