| NPI | 1275907529 |
|---|---|
| Doing Business As | NEW YORK AVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE BISSAH Supervising Pharmacist 718-856-8048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 034289) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2023-03-03 |