Healthcare Provider Details

I. General information

NPI: 1881287001
Provider Name (Legal Business Name): MAY HEZZINI PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2021
Last Update Date: 02/18/2021
Certification Date: 02/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 GARRY TER
SECAUCUS NJ
07094-4236
US

IV. Provider business mailing address

472 CLIFTON AVE
CLIFTON NJ
07011-3228
US

V. Phone/Fax

Practice location:
  • Phone: 201-966-1368
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03747400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: