Organization
ST MARYS HOSPITAL FOR CHILDREN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDDIE SIMPSER M.D. (CEO/PRESIDENT)
(718) 281-8886
Entity
Organization
Contact information
Practice address
2901 216TH ST, ATTN: PHARMACY, BAYSIDE, NY 11360-2810
(718) 281-8866
Mailing address
2901 216TH ST, ATTN: PHARMACY, BAYSIDE, NY 11360-2810
(718) 281-8866
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
NY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01528069
—
NY
Enumeration date
05/05/2008
Last updated
12/13/2018
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