Provider Demographics
NPI:1669522983
Name:PERFECT GIFTS US INC
Entity type:Organization
Organization Name:PERFECT GIFTS US INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SP
Authorized Official - Prefix:
Authorized Official - First Name:SOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MELERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-345-0111
Mailing Address - Street 1:397 MOTHER GASTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-7736
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:397 MOTHER GASTON BLVD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-7736
Practice Address - Country:US
Practice Address - Phone:718-345-0111
Practice Address - Fax:718-345-3716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028101333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered333600000XSuppliersPharmacy
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3391036OtherOTHER ID NUMBER-COMMERCIAL NUMBER
NY02078224Medicaid