Provider Demographics
NPI:1447061361
Name:SETLIFE MEDICAL SUPPLY L.L.C
Entity type:Organization
Organization Name:SETLIFE MEDICAL SUPPLY L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELIKSET
Authorized Official - Middle Name:
Authorized Official - Last Name:VARDANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:347-440-8037
Mailing Address - Street 1:2830 BRIGHTON 3RD ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6759
Mailing Address - Country:US
Mailing Address - Phone:347-440-8037
Mailing Address - Fax:
Practice Address - Street 1:2830 BRIGHTON 3RD ST APT 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6759
Practice Address - Country:US
Practice Address - Phone:347-440-8037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies