Provider Demographics
NPI:1730896358
Name:JW MARKETING & DISTRIBUTION
Entity type:Organization
Organization Name:JW MARKETING & DISTRIBUTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILKY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-928-7213
Mailing Address - Street 1:1750 OCEAN PKWY APT 6K
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-2035
Mailing Address - Country:US
Mailing Address - Phone:917-250-3618
Mailing Address - Fax:
Practice Address - Street 1:1750 OCEAN PKWY APT 6K
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2035
Practice Address - Country:US
Practice Address - Phone:718-928-7213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health