Healthcare Provider Details

I. General information

NPI: 1780710970
Provider Name (Legal Business Name): MARK JOSEPH SINNETT PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E 210TH ST MONTEFIORE MEDICAL CENTER, DEPARTMENT OF PHARMACY
BRONX NY
10467-2401
US

IV. Provider business mailing address

111 E 210TH ST MONTEFIORE MEDICAL CENTER, DEPARTMENT OF PHARMACY
BRONX NY
10467-2401
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-2944
  • Fax: 718-798-0722
Mailing address:
  • Phone: 718-920-2944
  • Fax: 718-798-0722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number036668-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: