Provider Demographics
NPI:1053114413
Name:ORTHO-AID DISTRIBUTION INC
Entity type:Organization
Organization Name:ORTHO-AID DISTRIBUTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIKTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:KOZHANOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-541-3216
Mailing Address - Street 1:2606 E 15TH ST STE 301
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3830
Mailing Address - Country:US
Mailing Address - Phone:718-336-9240
Mailing Address - Fax:718-336-9218
Practice Address - Street 1:2606 E 15TH ST STE 301
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3830
Practice Address - Country:US
Practice Address - Phone:718-336-9240
Practice Address - Fax:718-336-9218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies