MEDICARE: MY TECH ORTHO INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1093303729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY TECH ORTHO INC

Provider Business Mailing Address
First Line	:	2106 E 23RD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3646
Country	:	US
Telephone Number	:	718-872-9089
Fax Number	:

Provider Business Practice Location Address
First Line	:	2106 E 23RD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3646
Country	:	US
Telephone Number	:	718-872-9089
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MIKHAIL YAKUBOV
Credential	:
Telephone Number	:	718-872-9089

Provider Enumeration Date	:	01/07/2021
Last Update Date	:	03/16/2026

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Directions to “MY TECH ORTHO INC ” Practice Location

Language	Start Address	Practice Location

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