Provider Demographics
NPI:1124184650
Name:BEST EQUIPMENT MEDICAL SUPPLY, INC
Entity Type:Organization
Organization Name:BEST EQUIPMENT MEDICAL SUPPLY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:PROF
Authorized Official - First Name:OLEG
Authorized Official - Middle Name:
Authorized Official - Last Name:KAM
Authorized Official - Suffix:
Authorized Official - Credentials:BCP, CFO
Authorized Official - Phone:718-376-2660
Mailing Address - Street 1:1773 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-1746
Mailing Address - Country:US
Mailing Address - Phone:718-376-2660
Mailing Address - Fax:718-376-0577
Practice Address - Street 1:1773 W 1ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-1746
Practice Address - Country:US
Practice Address - Phone:718-376-2660
Practice Address - Fax:718-376-0577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332B00000X332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02553111Medicaid
NY02553111Medicaid