Provider Demographics
NPI:1447081450
Name:YOSO MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:YOSO MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:YESYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSHEYEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-640-6298
Mailing Address - Street 1:14-12 CLINTONVILLE ST; UNIT B
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357
Mailing Address - Country:US
Mailing Address - Phone:929-640-6298
Mailing Address - Fax:
Practice Address - Street 1:14-12 CLINTONVILLE ST; UNIT B
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357
Practice Address - Country:US
Practice Address - Phone:929-640-6298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies