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Contact Information

MARTINS FOODS OF SOUTH BURLINGTON LLC
2066 ROUTE 32
MODENA, NY12548
 Phone: 845-883-7469
 Fax: 845-883-7530
 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
Indicates primary specialty

NPI Profile & details for MARTINS FOODS OF SOUTH BURLINGTON LLC

NPI # 1932390242
LBN Legal business name MARTINS FOODS OF SOUTH BURLINGTON LLC
Authorized official MICHAEL VAIL - (PRESIDENT AND MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/05/2007
Last updated 04/20/2018 - About 8 years ago
Identifiers
NY License # 028567
NY Medicaid 02920441
Other 2069730 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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