47Th Street Enterprise, Llc

LBN: 47Th Street Enterprise, Llc
47Th Street Enterprise, Llc is an health care organization with primary practice located at 4620 3Rd Ave , Brooklyn NY 11220. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. 47Th Street Enterprise, Llc can be contacted via phone (718) 439-1570, or through Muyir, Hassan via phone (917) 407-7443.

Contact Information

Primary practice address
4620 3Rd Ave Brooklyn NY 11220
Fax: (718) 439-1567
Website:
Authorized official contact:
Name: Muyir, Hassan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RO00122600 New Jersey
Suppliers / Community/Retail Pharmacy 3336C0003X 032141 New York

Profile Details

NPI number 1710310693
LBN Legal business name 47Th Street Enterprise, Llc
DBA Doing business as
Authorized official Muyir, Hassan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2013
Last updated Jun 12th, 2018 - about 8 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 1710310693 NPPES
New York MEDICAID 03892660
New York Other 2141576

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