Healthcare Provider Details

I. General information

NPI: 1447178033
Provider Name (Legal Business Name): MAJOR MEDICAL EQUIPMENT AND SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3755 72ND ST 2ND FL
JACKSON HEIGHTS NY
11372
US

IV. Provider business mailing address

3755 72ND ST 2ND FL
JACKSON HEIGHTS NY
11372
US

V. Phone/Fax

Practice location:
  • Phone: 340-825-6317
  • Fax:
Mailing address:
  • Phone: 340-825-6317
  • 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: HADI MIRZA
Title or Position: PRESIDENT
Credential:
Phone: 340-825-6317