Provider Demographics
NPI:1770125627
Name:ACQURATE MEDICAL SUPPLY LLC
Entity type:Organization
Organization Name:ACQURATE MEDICAL SUPPLY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TENGIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:AGAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-219-1000
Mailing Address - Street 1:532 NEPTUNE AVE STE 5A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-4008
Mailing Address - Country:US
Mailing Address - Phone:929-219-1000
Mailing Address - Fax:929-219-2000
Practice Address - Street 1:532 NEPTUNE AVE STE 5A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-4008
Practice Address - Country:US
Practice Address - Phone:929-219-1000
Practice Address - Fax:929-219-2000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-11
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies