Provider Demographics
NPI:1871348136
Name:NEW YORK PHARMACY & SURGICALS INC
Entity type:Organization
Organization Name:NEW YORK PHARMACY & SURGICALS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NAVEEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:KUTHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-234-2345
Mailing Address - Street 1:2611 FREDERICK DOUGLASS BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10030-3496
Mailing Address - Country:US
Mailing Address - Phone:212-234-2345
Mailing Address - Fax:212-234-6789
Practice Address - Street 1:2611 FREDERICK DOUGLASS BLVD
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10030-3496
Practice Address - Country:US
Practice Address - Phone:212-234-2345
Practice Address - Fax:212-234-6789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-20
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy