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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