| NPI | 1942254024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZEV ZYLBERBERG Pharmacist 718-376-6563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 016650) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 016650) |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies (Licence: NY 016650) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: NY 016650) | |
| 333600000X Pharmacy (Licence: NY 016650) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: NY 016650) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NY 016650) | |
| Enumeration Date | 2006-05-21 |
| Last Update Date | 2024-09-25 |