Organization
ESSEX STREET CORP
Active
Other names
Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MUBASHRA K ALAM (PRESIDENT)
(718) 342-7368
Entity
Organization
Contact information
Practice address
440 ROCKAWAY AVE, BROOKLYN, NY 11212-5636
(718) 342-7368
Mailing address
440 ROCKAWAY AVE, BROOKLYN, NY 11212-5636
(718) 342-7368
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
022185
NY
3336C0003X
Community/Retail Pharmacy
Primary
022185
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01487145
—
NY
01
—
3393078
NCPDP
NY
Enumeration date
05/23/2006
Last updated
03/13/2015
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