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NPI 1558725853

OrganizationActive

Bayside Rx LLC

NPI 1558725853 · Managed Care Organization Pharmacy · Bayside, NY

Provider details

NPI number: 1558725853
Entity type: Organization
Primary specialty: Managed Care Organization PharmacySuppliers
Authorized official: Jaclyn Prisco, President

Practice location

21411 41st Ave

Bayside, NY 11361-2133

Phone: (347) 749-8544

Fax: (718) 522-2388

More NY providers

Mailing address

21411 41st Ave

Bayside, NY 11361-2133

Registry dates

Enumerated: 2016-04-12
Last updated: 2016-04-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bayside Rx LLC — NPI 1558725853, Bayside, NY | NPI Central