Provider Demographics
NPI:1770230351
Name:L & C MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:L & C MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIOR
Authorized Official - Middle Name:
Authorized Official - Last Name:CHODJAEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-678-8410
Mailing Address - Street 1:9972 66TH RD APT 1Z
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-4441
Mailing Address - Country:US
Mailing Address - Phone:646-678-8410
Mailing Address - Fax:
Practice Address - Street 1:9972 66TH RD APT 1Z
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-4441
Practice Address - Country:US
Practice Address - Phone:646-678-8410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies