Healthcare Provider Details
I. General information
NPI: 1104741438
Provider Name (Legal Business Name): VN MEDICAL SUPPLY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
211 E 43RD ST STE 641
NEW YORK NY
10017-4707
US
IV. Provider business mailing address
211 E 43RD ST STE 641
NEW YORK NY
10017-4707
US
V. Phone/Fax
- Phone: 917-592-3478
- Fax:
- Phone: 917-592-3478
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YANA
VINTONIUK
Title or Position: CEO & OWNER
Credential:
Phone: 917-592-3478