Provider Demographics
NPI:1598465148
Name:INFINITE SUPPLY GROUP INC.
Entity Type:Organization
Organization Name:INFINITE SUPPLY GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OSIASHVILI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-803-2929
Mailing Address - Street 1:PO BOX 754149
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-9149
Mailing Address - Country:US
Mailing Address - Phone:347-803-2929
Mailing Address - Fax:347-803-2928
Practice Address - Street 1:8542 WOODHAVEN BLVD # 2
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-1436
Practice Address - Country:US
Practice Address - Phone:347-803-2929
Practice Address - Fax:347-803-2928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies