Provider Demographics
NPI:1497974703
Name:HEALTH INSURANCE PLAN OF GREATER NY
Entity Type:Organization
Organization Name:HEALTH INSURANCE PLAN OF GREATER NY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PHARMACY OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ARAKSI
Authorized Official - Middle Name:
Authorized Official - Last Name:SARAFIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-447-7222
Mailing Address - Street 1:3175 23RD ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-4134
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3175 23RD ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-4134
Practice Address - Country:US
Practice Address - Phone:718-626-6597
Practice Address - Fax:718-626-6697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0270883336M0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0003XSuppliersPharmacyManaged Care Organization Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3344405OtherOTHER ID NUMBER
3344405OtherOTHER ID NUMBER-COMMERCIAL NUMBER