Organization
FORDHAM HEALTH CORP
Active
Other names
Fordham Health Corp
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CORREA (OWNER)
(718) 220-7232
Entity
Organization
Contact information
Practice address
202 W FORDHAM RD, BRONX, NY 10468-5520
(718) 220-7232
(718) 220-7234
Mailing address
202 W FORDHAM RD, BRONX, NY 10468-5520
(718) 220-7232
(718) 220-7234
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
028274
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02878779
—
NY
01
—
3354040
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/25/2007
Last updated
09/27/2012
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