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Organization
KINGS PARK SLOPE LLC
Active
Organization
KINGS PARK SLOPE LLC
Active
Other names
PRIMA
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES TEDORI (CEO)
(718) 230-3535
Entity
Organization
Contact information
Practice address
8 E 41ST ST, NEW YORK, NY 10017-0040
(718) 230-3535
(718) 230-0596
Mailing address
8 E 41ST ST, NEW YORK, NY 10017-0040
(718) 230-3535
(718) 230-0596
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
32971
NY
251F00000X
Home Infusion Agency
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01014942
—
NY
Enumeration date
08/31/2006
Last updated
03/04/2025
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