Provider Demographics
NPI:1194759423
Name:POSITUDES INC
Entity type:Organization
Organization Name:POSITUDES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FUSARO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:516-876-0100
Mailing Address - Street 1:44 BOND ST
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-5002
Mailing Address - Country:US
Mailing Address - Phone:516-876-0100
Mailing Address - Fax:516-876-0200
Practice Address - Street 1:44 BOND ST
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-5002
Practice Address - Country:US
Practice Address - Phone:516-876-0100
Practice Address - Fax:516-876-0200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0249893336C0003X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02248180Medicaid
VA008519617Medicaid
NYB3F931Medicare UPIN