Organization
47TH STREET ENTERPRISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN MUYIR (OWNER)
(917) 407-7443
Entity
Organization
Contact information
Practice address
4620 3RD AVE, BROOKLYN, NY 11220
(718) 439-1570
(718) 439-1567
Mailing address
4620 3RD AVE, BROOKLYN, NY 11220-1034
(718) 439-1570
(718) 439-1567
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032141
NY
3336C0003X
Community/Retail Pharmacy
28RO00122600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03892660
—
NY
01
—
2141576
PK
—
Enumeration date
08/15/2013
Last updated
06/12/2018
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