# STATE OF NEW YORK COMPTROLLERS OFFICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** State University of New York Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225623572
- **Authorized official:** JEFFREY KOSTALOS (DIRECTOR OF REIMBURSEMENT)
- **Authorized official phone:** (718) 826-4911

## Contact information

- **Practice address:** 470A CLARKSON AVE, BROOKLYN, NY 11203-2012
- **Practice address phone:** (718) 270-7300
- **Mailing address:** 445 LENOX RD, BROOKLYN, NY 11203-2017
- **Mailing address phone:** (718) 826-4911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/08/2021
- **Last updated:** 02/16/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7001037 | — | NY |