Provider Demographics
NPI:1083277891
Name:UNICAST INC.
Entity Type:Organization
Organization Name:UNICAST INC.
Other - Org Name:UNICAST INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:GAVRILOV
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:917-589-9817
Mailing Address - Street 1:6909 164TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-3159
Mailing Address - Country:US
Mailing Address - Phone:718-663-2089
Mailing Address - Fax:845-386-0177
Practice Address - Street 1:6909 164TH ST FL 2
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-3159
Practice Address - Country:US
Practice Address - Phone:718-663-2089
Practice Address - Fax:845-386-0177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-17
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies