Provider Demographics
NPI:1942928841
Name:SINN-FULLY DELICIOUS CATERNIG & ENT.
Entity Type:Organization
Organization Name:SINN-FULLY DELICIOUS CATERNIG & ENT.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:267-333-2686
Mailing Address - Street 1:5357 PULASKI AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-3942
Mailing Address - Country:US
Mailing Address - Phone:267-333-2686
Mailing Address - Fax:
Practice Address - Street 1:7165 GERMANTOWN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-1842
Practice Address - Country:US
Practice Address - Phone:215-960-7908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals