Provider Demographics
NPI:1831360254
Name:BANDSTAND CORPORATION
Entity type:Organization
Organization Name:BANDSTAND CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SAJID
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-768-1325
Mailing Address - Street 1:226 PROSPECT PARK W
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-5802
Mailing Address - Country:US
Mailing Address - Phone:718-768-1325
Mailing Address - Fax:718-832-3364
Practice Address - Street 1:226 PROSPECT PARK W
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-5802
Practice Address - Country:US
Practice Address - Phone:718-768-1325
Practice Address - Fax:718-832-3364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01545853Medicaid
NY5095040001Medicare PIN
NY5095040001Medicare NSC