1912040924 NPI number — ARDSLEY PHARMACY SURGICAL AND NUTRITION, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912040924 NPI number — ARDSLEY PHARMACY SURGICAL AND NUTRITION, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARDSLEY PHARMACY SURGICAL AND NUTRITION, 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:
1912040924
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
718 SAW MILL RIVER ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARDSLEY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10502
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-693-2003
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
708 SAW MILL RIVER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARDSLEY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10502-1817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-693-2003
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KAUSAR
Authorized Official First Name:
NADEEM
Authorized Official Middle Name:
Authorized Official Title or Position:
PHARMACIST
Authorized Official Telephone Number:
914-693-2003

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  049743-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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