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General NPI Number Information
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NPI Number | 1568896173
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Entity Type | Organization
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Legal Business Name | ECOVERT PHARMA INC.
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Dates
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Enumeration Date | 08/30/2013
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 1600 MADISON AVE
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City | NEW YORK
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State | NY
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Zip | 10029-3994
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Country | US
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Telephone | 212-369-3084
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Fax | 212-423-3037
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Provider Business Mailing Address
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Address Line | 1600 MADISON AVE
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City | NEW YORK
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State | NY
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Zip | 10029-3994
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Country | US
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Telephone | 212-369-3084
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Fax | 212-423-3037
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Authorized Official
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Title or Position | PRESIDENT
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Name | ABOUBACAR SYLLA
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Credential |
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Telephone | 212-369-3084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 032160
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License Number State | NY
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