Provider Demographics
NPI:1992032197
Name:V-CARE SUPPLIES CORP
Entity Type:Organization
Organization Name:V-CARE SUPPLIES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VALERY
Authorized Official - Middle Name:
Authorized Official - Last Name:RISIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-405-7351
Mailing Address - Street 1:2741 E 28TH ST
Mailing Address - Street 2:APT 6B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2453
Mailing Address - Country:US
Mailing Address - Phone:917-405-7351
Mailing Address - Fax:
Practice Address - Street 1:2741 E 28TH ST
Practice Address - Street 2:APT 6B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2453
Practice Address - Country:US
Practice Address - Phone:917-405-7351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies