Organization
ST LUKES ROOSEVELT HOSPITAL CENTER
Active
Other names
West Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MAISOUN SIOUFI (DIRECTOR OF PHARMACY)
(212) 636-3600
Entity
Organization
Contact information
Practice address
275 7TH AVE FL 12, NEW YORK, NY 10001-6995
(212) 604-1780
(212) 604-1763
Mailing address
PO BOX 95000-7570, PHILADELPHIA, PA 19195-7570
(212) 604-1780
(212) 604-1763
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030198
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03247087
—
NY
01
—
2127630
PK
—
Enumeration date
07/01/2010
Last updated
09/19/2025
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