Organization
ESCRIPT360 NYC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURIY DAVYDOV (MEMBER)
(646) 633-2170
Entity
Organization
Contact information
Practice address
1299 1ST AVE, NEW YORK, NY 10021-5503
(212) 535-1700
(212) 535-1722
Mailing address
5 PENNY POND CT, GREENVALE, NY 11548-1400
(646) 633-2170
(516) 492-3356
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040116
PHARMACY LICENSE
NY
Enumeration date
01/25/2023
Last updated
03/16/2023
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