Healthcare Provider Details

I. General information

NPI: 1295966752
Provider Name (Legal Business Name): BESSMAN UZOMA IHEANYI PHARMD.,BSC PHARM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2009
Last Update Date: 08/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1276 FULTON AVE
BRONX NY
10456-3402
US

IV. Provider business mailing address

1276 FULTON AVE
BRONX NY
10456-3402
US

V. Phone/Fax

Practice location:
  • Phone: 718-518-5020
  • Fax: 718-293-8315
Mailing address:
  • Phone: 718-518-5020
  • Fax: 718-293-8315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number045212
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: