Provider Demographics
NPI:1952743130
Name:4 LAFAYETTE COURT LLC
Entity Type:Organization
Organization Name:4 LAFAYETTE COURT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVERSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-914-7624
Mailing Address - Street 1:PO BOX 363
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-0363
Mailing Address - Country:US
Mailing Address - Phone:201-914-7624
Mailing Address - Fax:201-983-4223
Practice Address - Street 1:4 LAFAYETTE CT
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-3036
Practice Address - Country:US
Practice Address - Phone:201-914-7624
Practice Address - Fax:732-416-9436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-29
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies