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PRO HEALTH MEDICAL SUPPLY INC
NPI 1760066849
Durable Medical Equipment & Medical Supplies in Fresh Meadows, NY

Active since May 05, 2021
18208 UNION TPKE, FRESH MEADOWS, NY 11366(718) 480-8229 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Durable Medical Equipment & Medical Supp...

About PRO HEALTH MEDICAL SUPPLY INC

This page provides the complete NPI Profile along with additional information for Pro Health Medical Supply Inc, a provider established in Fresh Meadows, New York operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1760066849 assigned on May 2021. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Yuriy Kandanov (President)

NPI
1760066849 Verify this NPI
Provider Name
PRO HEALTH MEDICAL SUPPLY INC
Entity Type
Organization
Location Address
18208 UNION TPKE FRESH MEADOWS, NY 11366
Location Phone
(718) 480-8229
Mailing Address
18208 UNION TPKE FRESH MEADOWS, NY 11366
Mailing Phone
(718) 480-8229
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2021
Last Update Date
05-05-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

YURIY KANDANOV

Authorized Official Title
PRESIDENT
Authorized Official Phone
(718) 480-8229

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

REFUA RX INC
Pharmacy (Community/Retail Pharmacy)
18208 UNION TPKE
FRESH MEADOWS, NY 11366
Queens County (718) 480-8229

Frequently Asked Questions

What is PRO HEALTH MEDICAL SUPPLY INC's NPI number?

The NPI number assigned to this healthcare provider is 1760066849, enumerated as an "organization" on May 05, 2021.

Where is the provider located?

The provider is located at 18208 UNION TPKE FRESH MEADOWS, NY 11366 and the phone number is (718) 480-8229.

What is the provider's specialty?

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.