Provider Demographics
NPI:1891453569
Name:VRD GROUP
Entity Type:Organization
Organization Name:VRD GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DMITRIY
Authorized Official - Middle Name:
Authorized Official - Last Name:AZAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-207-1802
Mailing Address - Street 1:2550 W 13TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-5813
Mailing Address - Country:US
Mailing Address - Phone:718-300-5775
Mailing Address - Fax:
Practice Address - Street 1:2550 W 13TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-5813
Practice Address - Country:US
Practice Address - Phone:718-300-5775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management