Organization
CONEY ISLAND HEALTH SERVICES, INC.
Active
Other names
SAUL'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PERVEZ A. SIDDIQUI RPH (PRESIDENT)
(718) 265-9108
Entity
Organization
Contact information
Practice address
3514 MERMAID AVE, BROOKLYN, NY 11224-1508
(718) 265-9108
(718) 265-5327
Mailing address
3514 MERMAID AVE, BROOKLYN, NY 11224-1508
(718) 265-9108
(718) 265-5327
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022534
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01572545
—
NY
Enumeration date
07/23/2006
Last updated
03/10/2015
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