Provider Demographics
NPI:1346514643
Name:WHITSONS FOOD SERVICE (BRONX) CORP.
Entity Type:Organization
Organization Name:WHITSONS FOOD SERVICE (BRONX) CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITCOMB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-424-2700
Mailing Address - Street 1:1800 MOTOR PKWY
Mailing Address - Street 2:
Mailing Address - City:ISLANDIA
Mailing Address - State:NY
Mailing Address - Zip Code:11749-5216
Mailing Address - Country:US
Mailing Address - Phone:631-424-2700
Mailing Address - Fax:631-424-2745
Practice Address - Street 1:1800 MOTOR PKWY
Practice Address - Street 2:
Practice Address - City:ISLANDIA
Practice Address - State:NY
Practice Address - Zip Code:11749-5216
Practice Address - Country:US
Practice Address - Phone:631-424-2700
Practice Address - Fax:631-424-2745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals