Healthcare Provider Details

I. General information

NPI: 1225754674
Provider Name (Legal Business Name): S.M.N. HEALTH AND BEAUTY CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2022
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1323 CASTLE HILL AVE
BRONX NY
10462-4806
US

IV. Provider business mailing address

1323 CASTLE HILL AVE
BRONX NY
10462-4806
US

V. Phone/Fax

Practice location:
  • Phone: 347-293-8126
  • Fax: 347-281-8106
Mailing address:
  • Phone: 347-293-8126
  • Fax: 347-281-8106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. ZIA BIPLOB
Title or Position: PRESIDENT
Credential:
Phone: 347-293-8126