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 11 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