Organization
OCEAN BREEZE ASSOCIATES LLC
Active
Other names
Ocean Breeze Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SUKETU PATEL RPH (MANAGER)
(718) 987-2525
Entity
Organization
Contact information
Practice address
1817 HYLAN BLVD, STATEN ISLAND, NY 10305-1918
(718) 987-2525
(718) 987-4316
Mailing address
1817 HYLAN BLVD, STATEN ISLAND, NY 10305-1918
(718) 987-2525
(718) 987-4316
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
027787
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01588861
—
NY
01
—
2068218
PK
—
Enumeration date
07/20/2006
Last updated
03/03/2021
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