Individual ProviderDipak P AminPharmacistPharmacy Service ProvidersPractice Address1280 St.Nicholas Ave, New York City, NY 10033-4502(212) 928-8082PECOS EnrollmentBased on the most recent information from CMS, provider Dipak P Amin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 10 days ago.Profile DetailsProvider ID1992037659Provider TypeIndividualFull NameAmin, Dipak PTitleMr.CredentialRPHGenderMaleSole ProprietorYesEnumeration Date2/5/2010Last Updated2/5/2010Contact InformationPractice LocationPractice Address1280 St.Nicholas Ave, New York City, NY 10033-4502Phone(212) 928-8082Fax(212) 928-2088Mailing LocationMailing Address1280 St.Nicholas Ave, New York City, NY 10033-4502Phone(212) 928-8082Fax(212) 928-2088Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense35881New YorkCode183500000XDescriptionPharmacistPharmacy Service ProvidersLicense28R101852200New JerseyProvider IdentifiersIDDescriptionIssuerID35881DescriptionOtherIssuerNEW YORK STATE PHARMACISTNew YorkID28R101852200DescriptionOtherIssuerNEW JERSEY PHARMACISTNew Jersey