Organization
KABB 24 LLC
Active
Organization
KABB 24 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY YUSUPOV (PRESIDENT)
(212) 206-3666
Entity
Organization
Contact information
Practice address
10828 68TH DR, FOREST HILLS, NY 11375-2951
(212) 206-3666
Mailing address
10828 68TH DR, FOREST HILLS, NY 11375-2951
(212) 206-3666
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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