Provider Demographics
NPI:1386762961
Name:GENADYNE BIOTECHNOLOGIES, INC
Entity type:Organization
Organization Name:GENADYNE BIOTECHNOLOGIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAHZAD
Authorized Official - Middle Name:S
Authorized Official - Last Name:PIRZADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-343-0525
Mailing Address - Street 1:65 WATERMILL LN
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-4234
Mailing Address - Country:US
Mailing Address - Phone:516-487-8787
Mailing Address - Fax:516-487-7878
Practice Address - Street 1:65 WATERMILL LN
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-4234
Practice Address - Country:US
Practice Address - Phone:516-487-8787
Practice Address - Fax:516-487-7878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1000137514OtherFDA