Organization
OCEAN BREEZE ASSOCIATES LLC
Active
Other names
OCEAN BREEZE MEDICAL ARTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUKETU PATEL (PRESIDENT)
(718) 979-5036
Entity
Organization
Contact information
Practice address
501 SEAVIEW AVE, SUITE 100A, STATEN ISLAND, NY 10305-3400
(718) 797-5036
Mailing address
501 SEAVIEW AVE, SUITE 100A, STATEN ISLAND, NY 10305-3400
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
027906
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3352197
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/20/2006
Last updated
08/22/2020
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