NPI: 1164986782 · MONSEY, NY 10952 · Community/Retail Pharmacy · NPI assigned 01/28/2019
| Authorized Official | WERZBERGER, MOSES (OWNER) |
| NPI Enumeration Date | 01/28/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 12 | 12 | $2K |