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General NPI Number Information
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NPI Number | 1326022922
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Entity Type | Organization
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Legal Business Name | BROTHERS DRUG CORP
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 16933 137TH AVE
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City | JAMAICA
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State | NY
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Zip | 11434-4517
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Country | US
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Telephone | 718-723-2100
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Fax | 718-978-6427
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Provider Business Mailing Address
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Address Line | 16933 137TH AVE
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City | JAMAICA
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State | NY
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Zip | 11434-4517
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Country | US
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Telephone | 718-723-2100
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Fax | 718-978-6427
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Authorized Official
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Title or Position | PRESIDENT
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Name | DIANA GROYSMAN
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Credential |
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Telephone | 718-723-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 01091221
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 01091221
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 01091221
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 01091221
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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