Provider Demographics
NPI:1295372795
Name:ATLANTIC CONSULTANTS LLC
Entity Type:Organization
Organization Name:ATLANTIC CONSULTANTS LLC
Other - Org Name:BOWNE CHEMISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NITIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARIWALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-767-2400
Mailing Address - Street 1:16103 29TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-1049
Mailing Address - Country:US
Mailing Address - Phone:718-767-2400
Mailing Address - Fax:
Practice Address - Street 1:16103 29TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-1049
Practice Address - Country:US
Practice Address - Phone:718-767-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy