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NPI Code Detail

MEDICARE: JHONATHAN BEN-YSHAY PHARM.D

MEDICARE: JHONATHAN BEN-YSHAY PHARM.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist066367NY

General Provider Information

NPI Number : 1366035016
Entity Type Code : Individual
Provider Name (Legal Business Name) : JHONATHAN BEN-YSHAY PHARM.D
Provider Business Mailing Address
First Line : 1578 E 21ST ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-5036
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2202 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3648
Country : US
Telephone Number : 631-551-5110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2021
Last Update Date : 06/05/2025

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