# CXR HOSPITALITY TR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shelter Island Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982315123
- **Authorized official:** MR. MICHAEL HERSHMAN (CEO)
- **Authorized official phone:** (703) 609-0008

## Contact information

- **Practice address:** 19 GRAND AVE, SHELTER ISLAND HEIGHTS, NY 11965-2000
- **Practice address phone:** (631) 749-0445
- **Practice address fax:** (631) 479-0649
- **Mailing address:** 9 W 57TH ST FL 30, NEW YORK, NY 10019-2701
- **Mailing address phone:** (212) 715-0245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/08/2022
- **Last updated:** 12/08/2022