| NPI | 1023568813 |
|---|---|
| Doing Business As | SURF AVENUE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TARIEL BEGIYEV President 718-266-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 034788) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-27 |