Healthcare Provider Details

I. General information

NPI: 1619896909
Provider Name (Legal Business Name): ONESTORE360 INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 101ST AVE
BROOKLYN NY
11208-3404
US

IV. Provider business mailing address

8765 124TH ST
RICHMOND HILL NY
11418-2734
US

V. Phone/Fax

Practice location:
  • Phone: 347-891-9216
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State

VIII. Authorized Official

Name: TANBIRUL HAQUE
Title or Position: PRESIDENT
Credential:
Phone: 347-891-9216