Healthcare Provider Details

I. General information

NPI: 1578993325
Provider Name (Legal Business Name): NEW YORK BLOOD CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2013
Last Update Date: 09/15/2020
Certification Date: 09/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 PROSPECT AVENUE HEMOPHILLIA SERVICES, PHARMACY
WESTBURY NY
11590-2723
US

IV. Provider business mailing address

1200 PROSPECT AVENUE HEMOPHILLIA SERVICES, PHARMACY
WESTBURY NY
11590-2723
US

V. Phone/Fax

Practice location:
  • Phone: 516-478-5047
  • Fax: 516-478-5040
Mailing address:
  • Phone: 516-478-5047
  • Fax: 516-478-5040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number022180
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number022180
License Number StateNY

VIII. Authorized Official

Name: CHRISTOPHER D. HILLYER
Title or Position: PRESIDENT AND CEO
Credential: M.D.
Phone: 212-570-3000