Healthcare Provider Details

I. General information

NPI: 1245162577
Provider Name (Legal Business Name): NANOCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 WOODBINE ST
CORAM NY
11727-1140
US

IV. Provider business mailing address

55 WOODBINE ST
CORAM NY
11727-1140
US

V. Phone/Fax

Practice location:
  • Phone: 565-656-5656
  • Fax:
Mailing address:
  • Phone:
  • 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: SHAH ZAIB
Title or Position: CEO
Credential:
Phone: 565-656-5656