Organization
LONG ISLAND JEWISH MEDICAL CENTER
Active
Parent organization
LONG ISLAND JEWISH MEDICAL CENTER
Other names
Vivo Health Pharmacy at LIJ
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONG ISLAND JEWISH MEDICAL CENTER
Authorized official
MRS. DONNA DRUMMOND (SVP, CHIEF EXPENSE OFFICER)
(718) 470-8486
Entity
Organization
Contact information
Practice address
270-05 76TH AVE, ATTN: VIVO HEALTH PHARMACY AT LIJ, NEW HYDE PARK, NY 11040-1402
(718) 470-8486
(718) 470-5508
Mailing address
1983 MARCUS AVE STE 118, NEW HYDE PARK, NY 11042-1016
(718) 470-8486
(718) 470-5508
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032927
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04133506
—
NY
01
—
5811799
NABP
—
Enumeration date
10/01/2014
Last updated
02/12/2025
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