179Atlantic Inc

LBN: 179Atlantic Inc
179Atlantic Inc is an health care organization with primary practice located at 179 Atlantic Ave , Freeport NY 11520-4922. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. 179Atlantic Inc can be contacted via phone (516) 377-4050, or through Ganjian, Nazanin via phone (516) 377-4050.

Contact Information

Primary practice address
179 Atlantic Ave Freeport NY 11520-4922
Phone: (516) 377-4050
Fax: (516) 378-1809
Website:
Map and Directions
Authorized official contact:
Name: Ganjian, Nazanin
Phone: (516) 377-4050

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 049252 New York

Profile Details

NPI number 1730270083
LBN Legal business name 179Atlantic Inc
DBA Doing business as
Authorized official Ganjian, Nazanin
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated Feb 15th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730270083 NPPES
New York MEDICAID 02532929

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