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NPI Code Detail

MEDICARE: DR. MARIA TERESA AMBROSINI BS,PHARM.D., BCPS

MEDICARE:  DR. MARIA TERESA  AMBROSINI  BS,PHARM.D., BCPS
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRP038087TPA
21835P1200XPharmacotherapy Pharmacist039989NY

General Provider Information

NPI Number : 1902047178
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA TERESA AMBROSINI BS,PHARM.D., BCPS
Provider Business Mailing Address
First Line : 39 W MARKET ST
Second Line :
City : BREEZY POINT
State : NY
Zip : 11697-1123
Country : US
Telephone Number : 347-605-0358
Fax Number :
Provider Business Practice Location Address
First Line : 39 W MARKET ST
Second Line :
City : BREEZY POINT
State : NY
Zip : 11697-1123
Country : US
Telephone Number : 347-605-0358
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2009
Last Update Date : 06/09/2021

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