Basic Information
| Provider Information | |||||||||
| NPI: | 1427370451 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BERMUDEZ | ||||||||
| FirstName: | MONICA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 150 E 42ND ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2126618139 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 150 E 42ND ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2126618139 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/18/2010 | ||||||||
| LastUpdateDate: | 02/18/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 0533921 | NY | Y | Pharmacy Service Providers | Pharmacist | 183500000X | PS32968 | FL | N | Pharmacy Service Providers | Pharmacist | 183500000X | 28RI02482300 | NJ | N | Pharmacy Service Providers | Pharmacist |
No ID Information.