MYRTLE AVENUE TRADING LLC NPI 1669995007

NPI Information

  • NPI: 1669995007
  • Provider Name: MYRTLE AVENUE TRADING LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Address: 7611 MYRTLE AVE
    GLENDALE, NY
    ZIP 11385
  • Phone: (347) 384-2789

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NPI Details

MYRTLE AVENUE TRADING LLC is a customized equipment durable medical equipment medical supplies in Glendale, NY. MYRTLE AVENUE TRADING LLC NPI is 1669995007. The provider is registered as an organization entity type.

The provider's business location address is:

7611 MYRTLE AVE
GLENDALE, NY
ZIP 11385-446
Phone: (347) 384-2789
Fax: (646) 968-9971

The provider's authorized official is Rakhmin Dekhkanov .
The authorized official title is Member and has the following contact phone number (347) 384-2789.

The enumeration date for this NPI number is 7/18/2017 and was last updated on 10/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment2050808-DCANEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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