MEDICARE: NEW SNS 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
1	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy	033864	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2157284	OTHER		PK

General Provider Information

NPI Number	:	1912389487
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW SNS CORP

Provider Business Mailing Address
First Line	:	2109 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3001
Country	:	US
Telephone Number	:	718-421-3600
Fax Number	:	718-434-4341

Provider Business Practice Location Address
First Line	:	2109 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3001
Country	:	US
Telephone Number	:	718-421-3600
Fax Number	:	718-434-4341

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NOREEN KHURAM
Credential	:
Telephone Number	:	718-421-3600

Provider Enumeration Date	:	06/22/2015
Last Update Date	:	01/12/2016

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Directions to “NEW SNS CORP ” Practice Location

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