Provider Demographics
NPI:1639923469
Name:KRASAVCHIK HOLDINGS INC
Entity Type:Organization
Organization Name:KRASAVCHIK HOLDINGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDUJABBAROV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-999-4646
Mailing Address - Street 1:2907 SURF AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-1705
Mailing Address - Country:US
Mailing Address - Phone:718-483-8722
Mailing Address - Fax:718-483-8723
Practice Address - Street 1:2907 SURF AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-1705
Practice Address - Country:US
Practice Address - Phone:718-483-8722
Practice Address - Fax:718-483-8723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies