Healthcare Provider Details

I. General information

NPI: 1255922001
Provider Name (Legal Business Name): VZ MEDICAL SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2021
Last Update Date: 02/02/2021
Certification Date: 02/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 MURDOCK COURT APT 2C
BROOKLYN NY
11223-6404
US

IV. Provider business mailing address

9 MURDOCK CT APT 2C
BROOKLYN NY
11223-6404
US

V. Phone/Fax

Practice location:
  • Phone: 917-855-8555
  • Fax:
Mailing address:
  • Phone: 917-855-8555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: VITALIY ZALUHA
Title or Position: PRESIDENT
Credential:
Phone: 917-855-8555