Imdad A Ansari | New York, NY • PECOS Search

Imdad A Ansari

Pharmacist

Pharmacy Service Providers

522 W 181st St, New York, NY 10033-5101

PECOS Enrollment

Based on the most recent information from CMS, provider Imdad A Ansari does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1538483110
Provider Type
Individual
Full Name
Ansari, Imdad A
Credential
PHARMACIST

Gender
Male
Sole Proprietor
No
Enumeration Date
3/25/2010
Last Updated
3/25/2010

Contact Information

Practice Location

522 W 181st St, New York, NY 10033-5101

Unlisted Fax

Mailing Location

522 W 181st St, New York, NY 10033-5101

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 032337-1 New York