Provider Demographics
NPI:1811580830
Name:G&I ORTHO SUPPLY INC.
Entity Type:Organization
Organization Name:G&I ORTHO SUPPLY INC.
Other - Org Name:G&I ORTHO SUPPLY INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ELCHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFAILOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-920-0133
Mailing Address - Street 1:393 AVE X UNIT #2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223
Mailing Address - Country:US
Mailing Address - Phone:929-274-7766
Mailing Address - Fax:929-406-1062
Practice Address - Street 1:393 AVENUE X STE 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-6028
Practice Address - Country:US
Practice Address - Phone:929-274-7766
Practice Address - Fax:929-406-1062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-19
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment