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General NPI Number Information
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NPI Number | 1336359850
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Entity Type | Organization
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Legal Business Name | B&A PHARMACY CORP
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 252 PORT RICHMOND AVE STE B
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City | STATEN ISLAND
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State | NY
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Zip | 10302-1740
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Country | US
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Telephone | 718-556-0942
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Fax | 718-509-3578
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Provider Business Mailing Address
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Address Line | 826 FOREST AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10310-2446
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Country | US
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Telephone | 718-720-3710
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BORIS NATENZON
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Credential |
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Telephone | 917-734-4662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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