Provider Demographics
NPI:1275309122
Name:VERONICALL, INC
Entity Type:Organization
Organization Name:VERONICALL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SERGEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PYATAKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-690-4807
Mailing Address - Street 1:1749 VICTORY BLVD # 2B
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-3552
Mailing Address - Country:US
Mailing Address - Phone:347-690-4807
Mailing Address - Fax:347-448-2157
Practice Address - Street 1:1749 VICTORY BLVD # 2B
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-3552
Practice Address - Country:US
Practice Address - Phone:347-690-4807
Practice Address - Fax:347-448-2157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies