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Organization
DE WITT REHAB AND NURSING HOME PHCY
Active
Organization
DE WITT REHAB AND NURSING HOME PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD AHRENS R.PH (SUPERVISING PHARMACIST)
(212) 879-1600
Entity
Organization
Contact information
Practice address
211 E 79TH ST, NEW YORK, NY 10021-0819
(212) 879-1600
(212) 879-4594
Mailing address
211 E 79TH ST, NEW YORK, NY 10021-0819
(212) 879-1600
(212) 879-4594
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
025580
NY
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00310421
—
NY
01
—
3337979
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/24/2006
Last updated
12/16/2008
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