Provider Demographics
NPI:1912389487
Name:NEW SNS CORP
Entity Type:Organization
Organization Name:NEW SNS CORP
Other - Org Name:JUNCTION PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NOREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHURAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-421-3600
Mailing Address - Street 1:2109 NOSTRAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-3001
Mailing Address - Country:US
Mailing Address - Phone:718-421-3600
Mailing Address - Fax:718-434-4341
Practice Address - Street 1:2109 NOSTRAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-3001
Practice Address - Country:US
Practice Address - Phone:718-421-3600
Practice Address - Fax:718-434-4341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-22
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033864333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2157284OtherPK