Healthcare Provider Details

I. General information

NPI: 1508308313
Provider Name (Legal Business Name): FRANK JOSEPH ALBERGO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2016
Last Update Date: 11/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 8TH AVE
NEW YORK NY
10011-1602
US

IV. Provider business mailing address

3609 30TH ST APT. 3
ASTORIA NY
11106-3207
US

V. Phone/Fax

Practice location:
  • Phone: 212-929-6915
  • Fax:
Mailing address:
  • Phone: 631-312-3810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number061859
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: