Provider Demographics
NPI:1982921235
Name:STAT SCRIPT SPECIALTY INC
Entity Type:Organization
Organization Name:STAT SCRIPT SPECIALTY INC
Other - Org Name:STAT SCRIPT SPECIALTY, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YAKOV
Authorized Official - Middle Name:
Authorized Official - Last Name:ARONOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-544-6007
Mailing Address - Street 1:1800A NEW YORK AVE # 1
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-2955
Mailing Address - Country:US
Mailing Address - Phone:631-271-7828
Mailing Address - Fax:631-271-2445
Practice Address - Street 1:1800A NEW YORK AVE # 1
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-2955
Practice Address - Country:US
Practice Address - Phone:631-271-7828
Practice Address - Fax:631-271-2445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-27
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X, 332B00000X, 333600000X
NY0301373336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
2125075OtherPK
NY3239407Medicaid