Provider Demographics
NPI:1578776340
Name:BREAST CANCER THE NEXT STEP INC.
Entity Type:Organization
Organization Name:BREAST CANCER THE NEXT STEP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAJ
Authorized Official - Middle Name:KAMAL
Authorized Official - Last Name:VOHRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-545-7570
Mailing Address - Street 1:30-60 CRESCENT STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11102-3239
Mailing Address - Country:US
Mailing Address - Phone:718-545-7570
Mailing Address - Fax:718-545-8127
Practice Address - Street 1:30-60 CRESCENT STREET
Practice Address - Street 2:SUITE B
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11102-3239
Practice Address - Country:US
Practice Address - Phone:718-545-7570
Practice Address - Fax:718-545-8127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02257330Medicaid
NY02257330Medicaid