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Organization

GREAT NECK BEAUTY SUPPLY

Active
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Organization

GREAT NECK BEAUTY SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REUVEN RUBINOB (PRESIDENT)
(917) 605-6105
Entity
Organization

Contact information

Practice address
28 MIDDLE NECK RD, GREAT NECK, NY 11021-2357
(917) 605-6105
Mailing address
28 MIDDLE NECK RD, GREAT NECK, NY 11021-2357

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
03/19/2013
Last updated
03/19/2013
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