NPI: 1487798518 · ELMSFORD, NY 10523 · Pharmacy · NPI assigned 02/20/2007
| Authorized Official | LEVITT, MARC (OWNER) |
| NPI Enumeration Date | 02/20/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 77 | $6K |
| 2020 | 68 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| B4100 | Food thickener, administered orally, per ounce | 145 | 144 | $12K |