Provider Demographics
NPI:1508401407
Name:NYDN PHARMACY INC
Entity Type:Organization
Organization Name:NYDN PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:OREANTHE
Authorized Official - Middle Name:
Authorized Official - Last Name:LYMBERATOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-476-1881
Mailing Address - Street 1:16407 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-2646
Mailing Address - Country:US
Mailing Address - Phone:347-438-1705
Mailing Address - Fax:347-438-1740
Practice Address - Street 1:16407 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-2646
Practice Address - Country:US
Practice Address - Phone:347-438-1705
Practice Address - Fax:347-438-1740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy