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Contact Information

GIDEON'S DRUG
1385 BROADWAY
NEW YORK, NY10018
 Phone: 212-575-6868
 Fax: 212-575-6334
 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 GIDEON'S DRUG

NPI # 1174616700
LBN Legal business name GIDEON'S DRUG
Authorized official GIDEON LANIADO - (PROPRIETOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NY License # 026805
NY Medicaid 02622324
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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