Organization
LONG ISLAND JEWISH MEDICAL CENTER
Active
Other names
VIVO HEALTH PHARMACY AT ZUCKER HILLSIDE HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA DRUMMOND (SVP, CHIEF EXPENSE OFFICER)
(718) 470-5611
Entity
Organization
Contact information
Practice address
7559 263RD ST, VIVO HEALTH PHARMACY AT ZUCKER HILLSIDE HOSPITAL, GLEN OAKS, NY 11004-1150
(718) 470-5611
(718) 470-5612
Mailing address
1983 MARCUS AVE STE 118, NEW HYDE PARK, NY 11042-1016
(718) 470-5611
(718) 470-5612
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
035154
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168601
PK
—
Enumeration date
03/24/2017
Last updated
12/29/2022
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