Organization Name: | GENOVESE DRUG STORES INC |
NPI Number: | 1669571998 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION) |
Mailing Address: | 3114 30th Avenue Long Island City |
State: | NY US |
Postal Code: | 111021530 |
Phone Number: | 7182781901 |
Fax Number: | |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 10/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |