Healthcare Provider Details

I. General information

NPI: 1316800741
Provider Name (Legal Business Name): PAYBACK TIME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 S 10TH ST APT 6B
BROOKLYN NY
11249-7076
US

IV. Provider business mailing address

42 S 10TH ST APT 6B
BROOKLYN NY
11249-7076
US

V. Phone/Fax

Practice location:
  • Phone: 845-866-1121
  • Fax:
Mailing address:
  • Phone: 845-866-1121
  • 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: MR. CHESKY FRIEDMAN
Title or Position: OWNER
Credential:
Phone: 845-866-1121