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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