Provider Demographics
NPI:1114573342
Name:VIVA MED SUPPLIES & EQUIPMENT INC
Entity type:Organization
Organization Name:VIVA MED SUPPLIES & EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KATANOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-326-2030
Mailing Address - Street 1:PO BOX 161
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-0161
Mailing Address - Country:US
Mailing Address - Phone:718-326-2030
Mailing Address - Fax:800-569-0798
Practice Address - Street 1:175 I U WILLETS RD STE 3
Practice Address - Street 2:
Practice Address - City:ALBERTSON
Practice Address - State:NY
Practice Address - Zip Code:11507-1342
Practice Address - Country:US
Practice Address - Phone:718-326-2030
Practice Address - Fax:800-569-0798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-13
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies