NPI: 1508526328 · NEW HYDE PARK, NY 11040 · Community/Retail Pharmacy · NPI assigned 12/20/2021
| Authorized Official | ZAVULUNOV, STANISLAV (PRESIDENT) |
| NPI Enumeration Date | 12/20/2021 |
Other providers sharing the same authorized official: ZAVULUNOV, STANISLAV
| Provider | City | State | Total Paid |
|---|---|---|---|
| LITTLE NECK RX CORP | LITTLE NECK | NY | $98.77 |
| HCOR SPECIALTY PHARMACY LLC | FOREST HILLS | NY | $45.75 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 181 | $297.17 |
| 2024 | 198 | $169.15 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E0570 | Nebulizer, with compressor | 379 | 378 | $466.32 |