Provider Demographics
NPI:1083455455
Name:NEW AMSTERDAM DRUG MART INC
Entity type:Organization
Organization Name:NEW AMSTERDAM DRUG MART INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MANDALAPU
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:212-865-9700
Mailing Address - Street 1:698 AMSTERDAM AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6902
Mailing Address - Country:US
Mailing Address - Phone:212-865-9700
Mailing Address - Fax:212-865-6375
Practice Address - Street 1:698 AMSTERDAM AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6902
Practice Address - Country:US
Practice Address - Phone:212-865-9700
Practice Address - Fax:212-865-6375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-01
Last Update Date:2024-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy