Provider Demographics
NPI:1477120566
Name:SUPERIOR EXPERTISE INC.
Entity Type:Organization
Organization Name:SUPERIOR EXPERTISE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KANDHOROV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-617-8119
Mailing Address - Street 1:18729 PERTH RD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-5814
Mailing Address - Country:US
Mailing Address - Phone:917-617-8119
Mailing Address - Fax:
Practice Address - Street 1:18729 PERTH RD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-5814
Practice Address - Country:US
Practice Address - Phone:516-200-1023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies