Provider Demographics
NPI:1487343505
Name:ALMAZ MED SUPPLY INC
Entity type:Organization
Organization Name:ALMAZ MED SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZURAB
Authorized Official - Middle Name:
Authorized Official - Last Name:TSOTSKHALASHVILI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-703-3500
Mailing Address - Street 1:4407 69TH ST BSMT
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-3926
Mailing Address - Country:US
Mailing Address - Phone:718-570-6626
Mailing Address - Fax:929-615-0555
Practice Address - Street 1:4407 69TH ST BSMT
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-3926
Practice Address - Country:US
Practice Address - Phone:718-570-6626
Practice Address - Fax:929-615-0555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-04
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies