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General NPI Number Information
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NPI Number | 1588958441
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Entity Type | Organization
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Legal Business Name | SY PHARMACY INC
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Dates
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Enumeration Date | 06/07/2011
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Last Update Date | 04/06/2018
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Provider Practice Location Address
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Address Line | 241 W 116TH ST
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City | NEW YORK
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State | NY
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Zip | 10026-2858
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Country | US
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Telephone | 212-665-8880
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Fax | 212-665-8885
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Provider Business Mailing Address
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Address Line | 241 W 116TH ST
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City | NEW YORK
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State | NY
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Zip | 10026-2858
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Country | US
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Telephone | 212-665-8880
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Fax | 212-665-8885
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Authorized Official
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Title or Position | PRESIDENT.OWNER
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Name | MR. SALAH K ISMAIL
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Credential | PHARMACIST
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Telephone | 347-792-1545
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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 | 030720
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License Number State | NY
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