Healthcare Provider Details

I. General information

NPI: 1194759423
Provider Name (Legal Business Name): POSITUDES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 06/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 BOND ST
WESTBURY NY
11590-5002
US

IV. Provider business mailing address

44 BOND ST
WESTBURY NY
11590-5002
US

V. Phone/Fax

Practice location:
  • Phone: 516-876-0100
  • Fax: 516-876-0200
Mailing address:
  • Phone: 516-876-0100
  • Fax: 516-876-0200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number024989
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number024989
License Number StateNY

VIII. Authorized Official

Name: MR. VINCENT JAMES FUSARO
Title or Position: PRESIDENT
Credential: RPH
Phone: 516-876-0100