Provider Demographics
NPI:1255622478
Name:FIVE STAR EXAMS
Entity type:Organization
Organization Name:FIVE STAR EXAMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:917-701-5900
Mailing Address - Street 1:5014-16 AVE
Mailing Address - Street 2:SUITE 181
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-1404
Mailing Address - Country:US
Mailing Address - Phone:917-701-5900
Mailing Address - Fax:718-865-4297
Practice Address - Street 1:5014 16TH AVE
Practice Address - Street 2:SUITE 181
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1404
Practice Address - Country:US
Practice Address - Phone:917-701-5900
Practice Address - Fax:718-865-4297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-21
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies