Organization
STARRETT CITY PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IGOR VAYSBAUM RPH (PRESIDENT)
(718) 257-8777
Entity
Organization
Contact information
Practice address
1110 PENNSYLVANIA AVE, BROOKLYN, NY 11207-9061
(718) 257-8777
(718) 257-8884
Mailing address
1110 PENNSYLVANIA AVE, SUITE # 12, BROOKLYN, NY 11207-9061
(718) 257-8777
(718) 257-8884
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
025076
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02168005
—
NY
01
—
3322308
NCDP
NY
Enumeration date
10/19/2005
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us