Healthcare Provider Details

I. General information

NPI: 1558809756
Provider Name (Legal Business Name): NYU LANGONE HOSPITALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2017
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

INDUSTRY CITY BUILDING 10 882 3RD AVE
BROOKLYN NY
11232
US

IV. Provider business mailing address

INDUSTRY CITY BUILDING 10 882 3RD AVE
BROOKLYN NY
11232
US

V. Phone/Fax

Practice location:
  • Phone: 877-698-2330
  • Fax: 646-455-6401
Mailing address:
  • Phone: 877-698-2330
  • Fax: 929-455-6401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number033049
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AXAY SHAH
Title or Position: ASSISTANT DIRECTOR SPECIALTY P
Credential: PHARMD
Phone: 877-698-2330