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 2 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