Provider Demographics
NPI:1720424229
Name:ASTOR PHARMACY & MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:ASTOR PHARMACY & MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-244-8595
Mailing Address - Street 1:303 PARK AVE S
Mailing Address - Street 2:NUM 1423
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-3601
Mailing Address - Country:US
Mailing Address - Phone:718-808-5894
Mailing Address - Fax:
Practice Address - Street 1:303 PARK AVE S
Practice Address - Street 2:NUM 1423
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-3601
Practice Address - Country:US
Practice Address - Phone:718-808-5894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A PLUS MEDICAL SUPPLY & EQUIPMENT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-11
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition