MEDICARE: PARKCHESTER NATURAL HEALTH CENTER 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	333600000X	Pharmacy	024709	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3315086	OTHER		NCPDP #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427193499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARKCHESTER NATURAL HEALTH CENTER INC.

Provider Business Mailing Address
First Line	:	1663 METROPOLITAN AVE
Second Line	:	BRONX
City	:	BRONX
State	:	NY
Zip	:	10462-6202
Country	:	US
Telephone Number	:	718-931-6699
Fax Number	:	718-931-6699

Provider Business Practice Location Address
First Line	:	1663 METROPOLITAN AVE
Second Line	:	BRONX
City	:	BRONX
State	:	NY
Zip	:	10462-6202
Country	:	US
Telephone Number	:	718-931-6699
Fax Number	:	718-931-6699

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. AFSHAN NASIR
Credential	:	PHARMACY
Telephone Number	:	718-931-6699

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	08/22/2020

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