Stavin, Gary

Stavin, Gary is an individual health care provider with primary practice located at 8007 Jamaica Ave , Woodhaven NY 11421-1902. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Stavin, Gary can be contacted via phone (718) 296-0400.

Contact Information

Primary practice address
8007 Jamaica Ave Woodhaven NY 11421-1902
Phone: (718) 296-0400
Fax: (718) 296-2815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 045178 New York

Profile Details

NPI number 1750604575
LBN Legal business name Stavin, Gary
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2010
Last updated Mar 8th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750604575 NPPES
New York MEDICAID 02242419

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