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Organization

BLYTHEDALE CHILDREN'S HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY LEVINE (PRESIDENT/CEO)
(914) 592-8198
Entity
Organization

Contact information

Practice address
95 BRADHURST AVE, PHARMACY DEPARTMENT, VALHALLA, NY 10595-1637
(914) 592-7555
(914) 831-1289
Mailing address
95 BRADHURST AVE, PHARMACY DEPARTMENT, VALHALLA, NY 10595-1637
(914) 592-7555
(914) 831-1289

Taxonomy

Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
013327
NY

Other

Enumeration date
10/19/2016
Last updated
10/19/2016
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