MEDICARE: AVON PHARMACY & SURGICAL 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	023172	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1720184500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVON PHARMACY & SURGICAL INC

Provider Business Mailing Address
First Line	:	82 GRAHAM AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11206-3311
Country	:	US
Telephone Number	:	718-384-0630
Fax Number	:

Provider Business Practice Location Address
First Line	:	82 GRAHAM AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11206-3311
Country	:	US
Telephone Number	:	718-384-0630
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST
Name	:	MR. ALEX MATHEW
Credential	:
Telephone Number	:	718-384-0630

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	03/23/2017

Similar Medicare Providers

1376795039 — SHAILI SHAH RPH
Practice Location Address:

82 GRAHAM AVE
BROOKLYN, NY
11206-3311

Practice Phone: 718-384-0630
Practice Fax:

1912946351 — COMPREHENSIVE PAIN MEDICINE P.C.
Practice Location Address:

146 NORMAN AVE
BROOKLYN, NY
11222-3311

Practice Phone: 718-349-1221
Practice Fax:

1982644563 — KI-HO MOON M.D.
Practice Location Address:

326 7TH ST
BROOKLYN, NY
11215-3311

Practice Phone: 718-965-3393
Practice Fax:

1710918818 — IFTIKHAR UD DIN MD
Practice Location Address:

326 7TH ST
BROOKLYN, NY
11215-3311

Practice Phone: 718-965-1234
Practice Fax: 718-965-2674

1588679195 — NU-EDGE PHARMACY INC
Practice Location Address:

7707 5TH AVE
BROOKLYN, NY
11209-3311

Practice Phone: 718-748-4082
Practice Fax: 718-748-4156

1679654685 — PARK SLOPE PHYSICAL THERAPY, PLLC
Practice Location Address:

326 7TH ST
BROOKLYN, NY
11215-3311

Practice Phone: 718-369-3506
Practice Fax:

Directions to “AVON PHARMACY & SURGICAL INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.