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Contact Information

MOTT HAVEN PHCY AND SURGICALS
400 EAST 141 STREET
BRONX, NY10454
 Phone: 718-292-9144
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MOTT HAVEN PHCY AND SURGICALS

NPI # 1104831700
LBN Legal business name MOTT HAVEN PHCY AND SURGICALS
Authorized official AMIT PATEL - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2006
Last updated 10/27/2010 - About 16 years ago
Identifiers
Other 3349811 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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