# IPPC OF NEW YORK LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IPPC OF NEW YORK
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699135368
- **Authorized official:** HOLLY PAULAUSKAS (OFFICE MANAGER)
- **Authorized official phone:** (732) 617-8686

## Contact information

- **Practice address:** 101 FAIRCHILD AVE STE 5, PLAINVIEW, NY 11803-1725
- **Practice address phone:** (516) 544-4311
- **Practice address fax:** (516) 544-4314
- **Mailing address:** 101 FAIRCHILD AVE STE 5, PLAINVIEW, NY 11803-1725
- **Mailing address phone:** (516) 544-4311
- **Mailing address fax:** (516) 544-4314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 034359 | NY | Yes |

## Other

- **Enumeration date:** 02/24/2016
- **Last updated:** 07/20/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2159009 | PK | — |