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NPI Code Detail

MEDICARE: CRESETTI DRUG CORP

MEDICARE: CRESETTI DRUG CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies019466NY
2332BP3500XParenteral & Enteral Nutrition Supplies (DME)
3332BX2000XOxygen Equipment & Supplies (DME)
43336L0003XLong Term Care Pharmacy019466NY
5335E00000XProsthetic/Orthotic Supplier
6333600000XPharmacy019466NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376546820
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRESETTI DRUG CORP
Provider Business Mailing Address
First Line : 454 5TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-4003
Country : US
Telephone Number : 718-768-0600
Fax Number : 718-832-2912
Provider Business Practice Location Address
First Line : 454 5TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-4003
Country : US
Telephone Number : 718-768-0600
Fax Number : 718-832-2912
Authorized Official
Title or Position : PHARMACIST
Name : MR. THOMAS CHRISTOPHER SUTHERLAND
Credential : RPH
Telephone Number : 718-768-0600
Provider Enumeration Date : 05/28/2005
Last Update Date : 02/27/2018

Similar Medicare Providers

1235344003 — MS. ROSEMARIE TOMASSETTI RPH
Practice Location Address:
454 5TH AVE
BROOKLYN, NY
11215-4003
Practice Phone: 718-768-0600
Practice Fax: 718-832-2912
1124350608 — THOMAS CHRISTOPHER SUTHERLAND RPH
Practice Location Address:
454 5TH AVE
BROOKLYN, NY
11215-4003
Practice Phone: 718-768-0600
Practice Fax: 718-832-2912
1174847503 — ROBERT CHARLES KRAUSS RPH.
Practice Location Address:
454 5TH AVE
BROOKLYN, NY
11215-4003
Practice Phone: 718-768-0600
Practice Fax: 718-832-2912
1053683284 — MRS. CAMILLE H SMALL-DESHIELDS
Practice Location Address:
454 5TH AVE
BROOKLYN, NY
11215-4003
Practice Phone: 718-768-0600
Practice Fax:
1962962738 — MR. ALLEN BRADLEY CHERNENKOFF R.PH.
Practice Location Address:
454 5TH AVE
BROOKLYN, NY
11215-4003
Practice Phone: 718-768-0600
Practice Fax: 718-832-2912
1417761123 — MERNA GERGES ADEB ZIADY PHARMD
Practice Location Address:
454 5TH AVE
BROOKLYN, NY
11215-4003
Practice Phone: 718-768-0600
Practice Fax:

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