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Organization
WSNCHS EAST INC
Active
Organization
WSNCHS EAST INC
Active
Other names
South Oaks Hospital Broadlawn Manor NCC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN I DREZEN REGISTERED PHARMACIS (DIRECTOR OF PHARMACY)
(631) 264-4000
Entity
Organization
Contact information
Practice address
400 SUNRISE HWY, AMITYVILLE, NY 11701
(631) 264-4000
(631) 608-5700
Mailing address
400 SUNRISE HWY, AMITYVILLE, NY 11701
(631) 264-4000
(631) 608-5700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024571
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01660842
—
NY
Enumeration date
12/15/2005
Last updated
08/22/2020
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