Provider Demographics
NPI:1952359713
Name:ACCESS THERAPEUTICS, INC.
Entity type:Organization
Organization Name:ACCESS THERAPEUTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:KOVINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-245-5953
Mailing Address - Street 1:950 CALCON HOOK RD
Mailing Address - Street 2:SUITE #15
Mailing Address - City:SHARON HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19079-1822
Mailing Address - Country:US
Mailing Address - Phone:800-395-6143
Mailing Address - Fax:800-395-6149
Practice Address - Street 1:200 SAW MILL RIVER RD
Practice Address - Street 2:SUITE #128
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-1523
Practice Address - Country:US
Practice Address - Phone:800-395-6143
Practice Address - Fax:800-395-6149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0277833336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5700450001Medicare NSC