Provider Demographics
NPI:1609899731
Name:D V TRADING CO INC
Entity Type:Organization
Organization Name:D V TRADING CO INC
Other - Org Name:VITALITY HOMECARE SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DORA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-439-8262
Mailing Address - Street 1:140 58TH ST
Mailing Address - Street 2:STE 7L
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-2538
Mailing Address - Country:US
Mailing Address - Phone:718-439-8262
Mailing Address - Fax:718-439-0235
Practice Address - Street 1:140 58TH ST
Practice Address - Street 2:STE 7L
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2538
Practice Address - Country:US
Practice Address - Phone:718-439-8262
Practice Address - Fax:718-439-0235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02200677Medicaid
0430750001Medicare ID - Type Unspecified