MEDICARE: LEXINGTON HEALTHCARE INC

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
1	3336C0003X	Community/Retail Pharmacy	031286	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5805277	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376801407
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEXINGTON HEALTHCARE INC

Provider Business Mailing Address
First Line	:	1570 LEXINGTON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-6205
Country	:	US
Telephone Number	:	212-722-5222
Fax Number	:	212-722-5003

Provider Business Practice Location Address
First Line	:	1570 LEXINGTON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-6205
Country	:	US
Telephone Number	:	212-722-5222
Fax Number	:	212-722-5003

Authorized Official
Title or Position	:	PHARMACIST
Name	:	RAJEEV BATRA
Credential	:
Telephone Number	:	646-462-1617

Provider Enumeration Date	:	04/26/2012
Last Update Date	:	04/04/2022

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Directions to “LEXINGTON HEALTHCARE INC ” Practice Location

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