Provider Demographics
NPI:1114358884
Name:BDESH INC.
Entity Type:Organization
Organization Name:BDESH INC.
Other - Org Name:SUFFERN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:DAUD
Authorized Official - Last Name:HOSAIN-BHUIYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-806-2111
Mailing Address - Street 1:24 LAFAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-5406
Mailing Address - Country:US
Mailing Address - Phone:845-547-2331
Mailing Address - Fax:845-547-2330
Practice Address - Street 1:24 LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-5406
Practice Address - Country:US
Practice Address - Phone:845-547-2331
Practice Address - Fax:845-547-2330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-06
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0323163336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY032316OtherRETAIL PHARMACY LICENSE NUMBER
NY032316OtherRETAIL PHARMACY LICENSE NUMBER