Diabetes Corner Store

LBN: Diabetes Corner Store
Diabetes Corner Store is an health care organization with primary practice located at 310 Guinea Rd , Brewster NY 10509-2651. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Diabetes Corner Store can be contacted via phone (845) 277-1810, or through Case, Jon via phone (845) 277-1810.

Contact Information

Primary practice address
310 Guinea Rd Brewster NY 10509-2651
Phone: (845) 277-1810
Fax: (845) 277-2851
Website:
Map and Directions
Authorized official contact:
Name: Case, Jon
Phone: (845) 277-1810

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1578541173
LBN Legal business name Diabetes Corner Store
DBA Doing business as
Authorized official Case, Jon
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2006
Last updated Aug 22nd, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578541173 NPPES
New York MEDICAID 02705842

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