Provider Demographics
NPI:1750316055
Name:DVB INC
Entity Type:Organization
Organization Name:DVB INC
Other - Org Name:G&L MEDICAL EQUIPMENT & SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VLADIK
Authorized Official - Middle Name:
Authorized Official - Last Name:VAINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-332-6090
Mailing Address - Street 1:2402 MCDONALD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-5231
Mailing Address - Country:US
Mailing Address - Phone:718-332-6090
Mailing Address - Fax:718-872-0075
Practice Address - Street 1:2402 MCDONALD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-5231
Practice Address - Country:US
Practice Address - Phone:718-332-6090
Practice Address - Fax:718-872-0075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01678037Medicaid
NY1137180001Medicare NSC