Provider Demographics
NPI:1568272979
Name:MJ SUPPLIES IT INC
Entity type:Organization
Organization Name:MJ SUPPLIES IT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAVLANOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-772-2122
Mailing Address - Street 1:574 MIDDLE NECK RD # 203
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11023-1430
Mailing Address - Country:US
Mailing Address - Phone:718-772-2122
Mailing Address - Fax:
Practice Address - Street 1:574 MIDDLE NECK RD # 203
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11023-1430
Practice Address - Country:US
Practice Address - Phone:718-772-2122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies