Healthcare Provider Details

I. General information

NPI: 1124064670
Provider Name (Legal Business Name): PARTNERS OF NEW YORK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 04/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661 HILLSIDE RD
PELHAM NY
10803-2723
US

IV. Provider business mailing address

661 HILLSIDE RD
PELHAM NY
10803-2723
US

V. Phone/Fax

Practice location:
  • Phone: 914-738-2400
  • Fax: 914-738-6909
Mailing address:
  • Phone: 914-738-2400
  • Fax: 914-738-6909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number032563
License Number StateNY

VIII. Authorized Official

Name: JAY R PALIN
Title or Position: VP-PI
Credential:
Phone: 908-931-9111