NPI 1932528551

New Moon Pharmacy

Organisation Point of Service Richmond Hill, NY

Practice location

Address: 109-14 Liberty Avenue 109-14 Librerty Avenue, Richmond Hill, NY 11418
Phone: (718) 738-0302
Fax: (718) 738-0303
Mailing address: 109-14 Liberty Ave 109-14 Liberty Ave, Richmond Hill, NY 11418

Authorised official

Name: Harris Hussnain
Title: President
Phone: (718) 738-0302

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 17032657 (NY)

Other Point of Service providers in New York →

Registry record

NPI: 1932528551
Entity type: Organization
NPI issued: 10 Apr 2014
Record last updated: 10 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.