Provider Demographics
NPI:1619502127
Name:ADVANCED CARE ASSOCIATES LLC
Entity Type:Organization
Organization Name:ADVANCED CARE ASSOCIATES LLC
Other - Org Name:ACA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ACIDRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-790-5069
Mailing Address - Street 1:7 CHATHAM SQ RM 700
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1000
Mailing Address - Country:US
Mailing Address - Phone:718-790-5069
Mailing Address - Fax:
Practice Address - Street 1:2 ALLEN ST UNIT 5A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-5383
Practice Address - Country:US
Practice Address - Phone:718-790-5069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED CARE ASSOCIATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-04
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy