Healthcare Provider Details

I. General information

NPI: 1609783687
Provider Name (Legal Business Name): TZIPORAH & ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7613 MYRTLE AVE STE 2G
GLENDALE NY
11385-7446
US

IV. Provider business mailing address

6331 CARLTON ST FL 2
REGO PARK NY
11374-2826
US

V. Phone/Fax

Practice location:
  • Phone: 718-790-9082
  • Fax:
Mailing address:
  • Phone: 718-790-9082
  • 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: SOFIYA MULLAKANDOVA
Title or Position: PRESIDENT
Credential:
Phone: 718-790-9082