Healthcare Provider Details

I. General information

NPI: 1124196449
Provider Name (Legal Business Name): JOSEPH RALPH BARLETTI R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1695 EASTCHESTER RD ROOM C-136
BRONX NY
10461-2374
US

IV. Provider business mailing address

3229 GRISWOLD AVE
BRONX NY
10465-1136
US

V. Phone/Fax

Practice location:
  • Phone: 718-405-8510
  • Fax: 718-405-8511
Mailing address:
  • Phone: 718-597-2414
  • Fax: 718-405-8511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number044182
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: