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Organization

MIDLAND PHARMACY YONKERS CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BINYAMIN DEZORAIEV (OWNER)
(914) 968-0349
Entity
Organization

Contact information

Practice address
861 MIDLAND AVE, YONKERS, NY 10704-1024
(914) 968-0349
(914) 968-0357
Mailing address
861 MIDLAND AVE, YONKERS, NY 10704-1024
(914) 968-0349
(914) 968-0357

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
039486
STATE BOARD
NY
Enumeration date
08/02/2022
Last updated
09/09/2025
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