Provider Demographics
NPI:1740767755
Name:THE FLOATING HOSPITAL INC.
Entity Type:Organization
Organization Name:THE FLOATING HOSPITAL INC.
Other - Org Name:THE FLOATING HOSPITAL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:GRANAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-784-2240
Mailing Address - Street 1:4140 27TH ST
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-3825
Mailing Address - Country:US
Mailing Address - Phone:718-784-2240
Mailing Address - Fax:347-579-0518
Practice Address - Street 1:2101 41ST AVE
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-4801
Practice Address - Country:US
Practice Address - Phone:718-784-2240
Practice Address - Fax:347-579-0518
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE FLOATING HOSPITAL INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-23
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5592434Medicaid