Healthcare Provider Details

I. General information

NPI: 1669349262
Provider Name (Legal Business Name): KABERX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1633 SURF AVE
BROOKLYN NY
11224-2401
US

IV. Provider business mailing address

1633 SURF AVE
BROOKLYN NY
11224-2401
US

V. Phone/Fax

Practice location:
  • Phone: 948-223-1001
  • Fax: 948-223-1002
Mailing address:
  • Phone: 948-223-1001
  • Fax: 948-223-1002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: EMIL KHALILOV
Title or Position: OWNER
Credential:
Phone: 948-223-1001