Provider Demographics
NPI:1417611435
Name:PRESTIGE Y CORP
Entity Type:Organization
Organization Name:PRESTIGE Y CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YURIY
Authorized Official - Middle Name:
Authorized Official - Last Name:STOGNIY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-759-6523
Mailing Address - Street 1:199 HIGHLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-2647
Mailing Address - Country:US
Mailing Address - Phone:718-759-6523
Mailing Address - Fax:
Practice Address - Street 1:199 HIGHLAWN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2647
Practice Address - Country:US
Practice Address - Phone:718-759-6523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty