Organization
THEO E. OBRIG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN E. MAZURE (PRESIDENT)
(212) 758-0973
Entity
Organization
Contact information
Practice address
209 E 56TH ST, LOWER LEVEL, NEW YORK, NY 10022-3705
(212) 758-0973
(212) 980-8452
Mailing address
209 E 56TH ST, LOWER LEVEL, NEW YORK, NY 10022-3705
(212) 758-0973
(212) 980-8452
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
C003271-1
NY
Other
Enumeration date
01/25/2008
Last updated
10/31/2008
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