Healthcare Provider Details

I. General information

NPI: 1477977668
Provider Name (Legal Business Name): UPPER MANHATTAN PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2014
Last Update Date: 02/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1728 AMSTERDAM AVE
NEW YORK NY
10031-4604
US

IV. Provider business mailing address

1728 AMSTERDAM AVE
NEW YORK NY
10031-4604
US

V. Phone/Fax

Practice location:
  • Phone: 212-694-6666
  • Fax: 212-694-6660
Mailing address:
  • Phone: 212-694-6666
  • Fax: 212-694-6660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ROBERT NASS
Title or Position: OWNER
Credential:
Phone: 718-742-3400