Provider Demographics
NPI:1558113381
Name:MARCO EQUIPMENT INC.
Entity Type:Organization
Organization Name:MARCO EQUIPMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLOKHANDOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-757-8870
Mailing Address - Street 1:8850 MYRTLE AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-7857
Mailing Address - Country:US
Mailing Address - Phone:347-238-1169
Mailing Address - Fax:
Practice Address - Street 1:8850 MYRTLE AVE FL 1
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385-7857
Practice Address - Country:US
Practice Address - Phone:347-238-1169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies