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Organization
ISABELLA GERIATRIC CENTER, INC
Active
Organization
ISABELLA GERIATRIC CENTER, INC
Active
Other names
ISABELLA GERIATRIC CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE ZERENER (DIRECTOR OF PHARMACY)
(212) 342-9427
Entity
Organization
Contact information
Practice address
515 AUDUBON AVE, NEW YORK, NY 10040-3403
(212) 342-9427
(212) 740-3951
Mailing address
515 AUDUBON AVE, NEW YORK, NY 10040-3403
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
027340
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02688791
—
NY
01
—
3346790
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/24/2006
Last updated
01/06/2009
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