Organization
NEW LIFE PHARMACY LLC
Active
Organization
NEW LIFE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO DESIRAL (PRESIDENT)
(718) 576-6950
Entity
Organization
Contact information
Practice address
3601 CHURCH AVE, BROOKLYN, NY 11203
(718) 576-6950
(718) 576-6955
Mailing address
3601 CHURCH AVE, BROOKLYN, NY 11203
(718) 576-6950
(718) 576-6955
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
031578
NY
Other
Enumeration date
03/04/2013
Last updated
12/21/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up