1578993325 NPI number — NEW YORK BLOOD CENTER, INC.

Table of content: (NPI 1578993325)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578993325 NPI number — NEW YORK BLOOD CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW YORK BLOOD CENTER, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578993325
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/15/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1200 PROSPECT AVENUE
Provider Second Line Business Mailing Address:
HEMOPHILLIA SERVICES, PHARMACY
Provider Business Mailing Address City Name:
WESTBURY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11590-2723
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-478-5047
Provider Business Mailing Address Fax Number:
516-478-5040

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1200 PROSPECT AVENUE
Provider Second Line Business Practice Location Address:
HEMOPHILLIA SERVICES, PHARMACY
Provider Business Practice Location Address City Name:
WESTBURY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11590-2723
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-478-5047
Provider Business Practice Location Address Fax Number:
516-478-5040
Provider Enumeration Date:
11/14/2013

Additional Information

Authorized Official

Authorized Official Last Name:
HILLYER
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
D.
Authorized Official Title or Position:
PRESIDENT AND CEO
Authorized Official Telephone Number:
212-570-3000

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  022180 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336S0011X , with the licence number: 022180 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 05112758 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3311038 . This is a "NCPDP" identifier . This identifiers is of the category "OTHER".




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