Provider Demographics
NPI:1700908829
Name:THE NEW YORK HOTEL TRADES COUNCIL AND HOTEL ASSOCIATION OF NEW YORK CI
Entity Type:Organization
Organization Name:THE NEW YORK HOTEL TRADES COUNCIL AND HOTEL ASSOCIATION OF NEW YORK CI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:CARROLL
Authorized Official - Last Name:LILLY
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHARMD, RPH
Authorized Official - Phone:718-858-7200
Mailing Address - Street 1:305 WEST 44TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036
Mailing Address - Country:US
Mailing Address - Phone:212-586-6400
Mailing Address - Fax:718-246-9357
Practice Address - Street 1:265 ASHLAND PLACE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217
Practice Address - Country:US
Practice Address - Phone:718-858-7200
Practice Address - Fax:718-246-9357
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE NEW YORK HOTEL TRADES C
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-06
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0231803336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3319010OtherNAPB