Organization
NEW AMSTERDAM DRUG MART INC
Active
Other names
NEW AMSTERDAM DRUG MART INC
Organization subpart
No
Provider details
NPI number
Authorized official
SUNIL MANDALAPU (PRESIDENT)
(212) 865-9700
Entity
Organization
Contact information
Practice address
698 AMSTERDAM AVE, NEW YORK, NY 10025-6902
(212) 865-9700
(212) 865-6375
Mailing address
698 AMSTERDAM AVE, NEW YORK, NY 10025-6902
(212) 865-9700
(212) 865-6375
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
018173
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02335257
—
NY
01
—
2062531
PK
—
Enumeration date
07/27/2006
Last updated
03/17/2017
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