Provider Demographics
NPI:1558394866
Name:SJSF ENTERPRISES LLC
Entity Type:Organization
Organization Name:SJSF ENTERPRISES LLC
Other - Org Name:NEB DOCS OF NEW YORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SOHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-693-6934
Mailing Address - Street 1:12 BRENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12803-5456
Mailing Address - Country:US
Mailing Address - Phone:518-693-6934
Mailing Address - Fax:518-693-6939
Practice Address - Street 1:12 BRENTWOOD DR
Practice Address - Street 2:
Practice Address - City:SOUTH GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12803-5456
Practice Address - Country:US
Practice Address - Phone:518-693-6934
Practice Address - Fax:518-693-6939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5520750001Medicare NSC