Organization · NPI-2

360 Knicker Corp

Legal Medicine · Brooklyn, NY

NPI number1295930113
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1295930113
Entity type
Organization (NPI-2)
Legal business name
360 Knicker Corp
Organization subpart
No
Enumeration date
Jun 20, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
173000000X Legal Medicine––Yes

Other names

  • Quick Rx (Doing Business As)

Practice location

360 Knickerbocker Ave
Brooklyn, NY 11237-3751

Phone 718-455-1301 · Fax 718-455-1375

Mailing address

360 Knickerbocker Ave
Brooklyn, NY 11237-3751

Phone 718-455-1301 · Fax 718-455-1375

Authorized official

Ivelisse Caridad Charlotten
Administrative Assistant
2124267151

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