Myrtle Avenue Trading Llc
Customized Equipment
7611 Myrtle Ave, Glendale
New York, 11385-7446
347-384-2789 646-968-9971
Myrtle Avenue Trading Llc is a Customized Equipment in Glendale, New York. It is located at 7611 Myrtle Ave, Glendale and it's customer support contact number is 347-384-2789. The authorized person of Myrtle Avenue Trading Llc is Mr. Rakhmin Dekhkanov who is Member of this DME and his contact number is 347-384-2789. Active license number of Myrtle Avenue Trading Llc is 2050808-DCA for Customized Equipment in New York. Myrtle Avenue Trading Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Myrtle Avenue Trading Llc is a medical supplier who supplies 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.
DME Supplier Details:
Myrtle Avenue Trading Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Myrtle Avenue Trading Llc |
| Type: | Customized Equipment |
| Location: | 7611 Myrtle Ave, Glendale,
New York, 11385-7446 |
| Phone: | 347-384-2789 |
| Fax: | 646-968-9971 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Rakhmin Dekhkanov |
| Position: | Member |
| Contact Number: | 347-384-2789 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1669995007 |
| NPI Enumeration Date: | 18 Jul, 2017 |
| NPI Last Update On: | 02 Oct, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Myrtle Avenue Trading Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | 2050808-DCA | New York | Primary | |
Medicare Enrollment:
Myrtle Avenue Trading Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1254695703 | O20180509000130 | Myrtle Avenue Trading Llc | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 7611 Myrtle Ave,
Glendale, New York |
| Zip: | 11385-7446 |
| Phone Number: | 347-384-2789 |
| Fax Number: | 646-968-9971 |
Patients can reach Myrtle Avenue Trading Llc at
7611 Myrtle Ave, Glendale, New York or can
call on customer care at 347-384-2789.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.