1105 Jtp Llc

LBN: 1105 Jtp Llc
1105 Jtp Llc is an health care organization with primary practice located at 1105 Jericho Tpke , New Hyde Park NY 11040-4603. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. 1105 Jtp Llc can be contacted via phone (516) 775-7775, or through Shukurov, Ishbay via phone (516) 775-7775.

Contact Information

Primary practice address
1105 Jericho Tpke New Hyde Park NY 11040-4603
Phone: (516) 775-7775
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shukurov, Ishbay
Phone: (516) 775-7775

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1982243788
LBN Legal business name 1105 Jtp Llc
DBA Doing business as
Authorized official Shukurov, Ishbay
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2019
Last updated Dec 27th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers