Provider Demographics
NPI:1336871607
Name:DREXEL DISTRIBUTION INC
Entity Type:Organization
Organization Name:DREXEL DISTRIBUTION INC
Other - Org Name:EZ TEST NY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BEDIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZORMATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-653-8900
Mailing Address - Street 1:PO BOX 3282
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10163-3282
Mailing Address - Country:US
Mailing Address - Phone:212-518-6900
Mailing Address - Fax:866-252-3902
Practice Address - Street 1:1 PENN PLZ
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10119-0002
Practice Address - Country:US
Practice Address - Phone:212-518-6900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-27
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY33D2254621OtherNY STATE DEPT OF HEALTH