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Contact Information

FAIRVIEW HILL REALTY CORP
4747 NESCONSET HWY
STE 10
PORT JEFFERSON STATION, NY11776-2872
 Phone: 631-474-7828
 Fax: 631-474-7871
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for FAIRVIEW HILL REALTY CORP

NPI Number 1184797078
LBN Legal business name FAIRVIEW HILL REALTY CORP
Authorized official MICHAEL NASTRO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/16/2006
Last updated 06/09/2016 - About 10 years ago
Identifiers
NY License # 022326
NY Medicaid 01548030
Other 2061369 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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