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General NPI Number Information
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NPI Number | 1427312214
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Entity Type | Organization
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Legal Business Name | HEALTH CARE PHARMACY OF NY, INC
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Dates
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Enumeration Date | 06/27/2012
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Last Update Date | 11/13/2012
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Provider Practice Location Address
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Address Line | 6061 MYRTLE AVE
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City | RIDGEWOOD
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State | NY
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Zip | 11385-5908
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Country | US
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Telephone | 718-417-4154
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Fax | 718-417-4291
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Provider Business Mailing Address
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Address Line | 6061 MYRTLE AVE
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City | RIDGEWOOD
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State | NY
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Zip | 11385-5908
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Country | US
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Telephone | 718-417-4154
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Fax | 718-417-4291
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Authorized Official
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Title or Position | CEO
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Name | MR. ALBERT MUSHIYEV
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Credential |
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Telephone | 718-417-4154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 031368
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 031368
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 031368
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 031368
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 031368
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 031368
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License Number State | NY
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