Healthcare Provider Details

I. General information

NPI: 1871817759
Provider Name (Legal Business Name): RICHARD J LABOROWICZ RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2010
Last Update Date: 03/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 MADISON ST
NEW YORK NY
10002-7537
US

IV. Provider business mailing address

171 INDIA ST 3L
BROOKLYN NY
11222-1739
US

V. Phone/Fax

Practice location:
  • Phone: 212-238-7061
  • Fax:
Mailing address:
  • Phone: 718-349-0928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number034155
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number034155
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: