Healthcare Provider Details

I. General information

NPI: 1578554077
Provider Name (Legal Business Name): HEALTHCARE RESOURCES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 FRANKLIN AVE SUITE NUMBER 325
GARDEN CITY NY
11530-1691
US

IV. Provider business mailing address

1225 FRANKLIN AVE SUITE NUMBER 325
GARDEN CITY NY
11530-1691
US

V. Phone/Fax

Practice location:
  • Phone: 516-512-8958
  • Fax: 516-908-4353
Mailing address:
  • Phone: 516-512-8958
  • Fax: 516-908-4353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number041166-1
License Number StateNY

VIII. Authorized Official

Name: MRS. SOTIRIA AMIGDALOS
Title or Position: PRESIDENT/R.PH.
Credential: R.PH.
Phone: 516-512-8958