MEDICARE: DR. MARKO ALSAYGH PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	050514	NY

General Provider Information

NPI Number	:	1225160559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARKO ALSAYGH PHARM.D.

Provider Business Mailing Address
First Line	:	1806 AVENUE V
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4504
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1806 AVENUE V
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4504
Country	:	US
Telephone Number	:	718-768-9567
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	02/07/2012

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