Organization
HYLAN MEDICINE CABINET INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMAR MOHAMED (OWNER)
(718) 667-4300
Entity
Organization
Contact information
Practice address
1988 HYLAN BLVD, STATEN ISLAND, NY 10306-3526
(718) 667-4300
(718) 980-2636
Mailing address
1988 HYLAN BLVD, STATEN ISLAND, NY 10306-3526
(718) 667-4300
(718) 980-2636
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
19429
NY
3336C0003X
Community/Retail Pharmacy
Primary
19429
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01024428
—
NY
Enumeration date
07/25/2006
Last updated
02/21/2023
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