Organization
TIGHTLYNX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GYASI JACKSON (PRESIDENT)
(347) 854-9137
Entity
Organization
Contact information
Practice address
374 UTICA AVE, BROOKLYN, NY 11213
(347) 854-9137
(718) 251-3909
Mailing address
374 UTICA AVE, BROOKLYN, NY 11213-5551
(347) 854-9137
(718) 251-3909
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
08/05/2014
Last updated
11/05/2021
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