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Contact Information

47TH STREET ENTERPRISE, LLC
4620 3RD AVE
BROOKLYN, NY11220
 Phone: 718-439-1570
 Fax: 718-439-1567
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for 47TH STREET ENTERPRISE, LLC

NPI # 1710310693
LBN Legal business name 47TH STREET ENTERPRISE, LLC
Authorized official HASSAN MUYIR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/15/2013
Last updated 06/12/2018 - About 8 years ago
Identifiers
NJ License # 28RO00122600
NY License # 032141
NY Medicaid 03892660
Other 2141576 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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