Life Quality Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIFE QUALITY MEDICAL SUPPLY

Practice address

205 Avenue T
Brooklyn, NY 11223-3707

Phone

(718) 975-3900

Fax

(212) 922-9044

NPI assigned

May 8, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Medzanun Gulkarov

Title

Vice-President

Phone

(718) 208-7979

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1669037214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 AVENUE T",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233707",
            "telephone_number": "718-975-3900",
            "fax_number": "212-922-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 AVENUE T",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233707",
            "telephone_number": "718-975-3900",
            "fax_number": "212-922-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE QUALITY MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "GULKAROV",
        "authorized_official_first_name": "MEDZANUN",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "718-208-7979"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Life Rehab PT PC
• Life Transmed Inc.
• Life Tree Occupational Therapy Services PC
• Life-Touch Pharmacy Inc
• Lifecare Family Chiropractic PC

• Durable Medical Equipment & Medical Supplies in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.