Healthcare Provider Details
I. General information
NPI: 1508698218
Provider Name (Legal Business Name): CONFUCIUS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2024
Last Update Date: 08/20/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
25 BOWERY
NEW YORK NY
10002-6702
US
IV. Provider business mailing address
25 BOWERY
NEW YORK NY
10002-6702
US
V. Phone/Fax
- Phone: 212-966-4420
- Fax: 646-736-5423
- Phone: 212-966-4420
- Fax: 646-736-5423
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ERNIE
C
NG
Title or Position: PRESIDENT
Credential:
Phone: 347-551-3356