Organization
ISABELLA GERIATRIC CENTER, INC
Active
Other names
ISABELLA GERIATRIC CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE ZERENER (DIRECTOR OF PHARMACY)
(212) 342-9427
Entity
Organization
Contact information
Practice address
515 AUDUBON AVE, NEW YORK, NY 10040-3403
(212) 342-9427
(212) 740-3951
Mailing address
515 AUDUBON AVE, NEW YORK, NY 10040-3403
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
027340
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02688791
—
NY
01
—
3346790
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/24/2006
Last updated
01/06/2009
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