Healthcare Provider Details
I. General information
NPI: 1609899731
Provider Name (Legal Business Name): D V TRADING CO INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/26/2006
Last Update Date: 07/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
140 58TH ST STE 7L
BROOKLYN NY
11220-2538
US
IV. Provider business mailing address
140 58TH ST STE 7L
BROOKLYN NY
11220-2538
US
V. Phone/Fax
- Phone: 718-439-8262
- Fax: 718-439-0235
- Phone: 718-439-8262
- Fax: 718-439-0235
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
DORA
VAINER
Title or Position: PRESIDENT
Credential:
Phone: 718-439-8262