Provider Demographics
NPI:1558809756
Name:NYU LANGONE HOSPITALS
Entity Type:Organization
Organization Name:NYU LANGONE HOSPITALS
Other - Org Name:NYU LANGONE SPECIALTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT DIRECTOR NYUHC PHARMACY O
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-263-7364
Mailing Address - Street 1:INDUSTRY CITY BUILDING 10
Mailing Address - Street 2:882 3RD AVE
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11232
Mailing Address - Country:US
Mailing Address - Phone:877-698-2330
Mailing Address - Fax:646-455-6401
Practice Address - Street 1:INDUSTRY CITY BUILDING 10
Practice Address - Street 2:882 3RD AVE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11232
Practice Address - Country:US
Practice Address - Phone:877-698-2330
Practice Address - Fax:646-455-6401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-08
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033049333600000X
3336C0003X, 3336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2167640OtherPK