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Organization

HONESTLY&CLEMENCYGENERALAGENCY

Active
Other names
N/A
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. FEN QIN LIN DEALER (PRESIDENT)
(646) 506-8378
Entity
Organization

Contact information

Practice address
6212 23RD AVE, 1FLOOR, BROOKLYN, NY 11204-3303
(646) 506-8378
(212) 225-8401
Mailing address
6212 23RD AVE, 1FLOOR, BROOKLYN, NY 11204-3303
(646) 506-8378
(212) 225-8401

Taxonomy

Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
1390146
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TZ55476V
NY
Enumeration date
05/17/2011
Last updated
05/17/2011
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