1295964898 NPI number — ISRAELSHINING STAR INCORPORATED

Table of content: (NPI 1295964898)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295964898 NPI number — ISRAELSHINING STAR INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ISRAELSHINING STAR INCORPORATED
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295964898
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/06/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 900093
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FAR ROCKAWAY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11690-0093
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-759-8594
Provider Business Mailing Address Fax Number:
718-960-7437

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
106-35 154TH STREET
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
JAMAICA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11433-1917
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-759-8594
Provider Business Practice Location Address Fax Number:
718-960-7437
Provider Enumeration Date:
07/06/2009

Additional Information

Authorized Official

Authorized Official Last Name:
ISRAEL
Authorized Official First Name:
NAOMI
Authorized Official Middle Name:
PLEASANT
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
718-759-8495

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  2205381 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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