MEDICARE: PIK MEDICAL SPL CORP

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	:	1184552077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIK MEDICAL SPL CORP

Provider Business Mailing Address
First Line	:	146 WOLCOTT ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11231-1114
Country	:	US
Telephone Number	:	347-374-5620
Fax Number	:

Provider Business Practice Location Address
First Line	:	146 WOLCOTT ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11231-1114
Country	:	US
Telephone Number	:	347-374-2560
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	IRINA PAVLOVA
Credential	:
Telephone Number	:	347-374-2560

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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