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Organization
IPPC OF NEW YORK LLC
Active
Organization
IPPC OF NEW YORK LLC
Active
Other names
IPPC OF NEW YORK
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY PAULAUSKAS (OFFICE MANAGER)
(732) 617-8686
Entity
Organization
Contact information
Practice address
101 FAIRCHILD AVE STE 5, PLAINVIEW, NY 11803-1725
(516) 544-4311
(516) 544-4314
Mailing address
101 FAIRCHILD AVE STE 5, PLAINVIEW, NY 11803-1725
(516) 544-4311
(516) 544-4314
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
034359
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159009
PK
—
Enumeration date
02/24/2016
Last updated
07/20/2020
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