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Contact Information

MYDESH INC
581 NYS ROUTE 17M
MONROE, NY10950
 Phone: 845-395-0909
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MYDESH INC

NPI # 1518344274
LBN Legal business name MYDESH INC
Authorized official MOHAMMED IQBAL - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/01/2015
Last updated 12/07/2016 - About 9 years ago
Identifiers
NY License # 033550
NY Medicaid 04421954
Other 2151698 PK
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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