Healthcare Provider Details

I. General information

NPI: 1992890842
Provider Name (Legal Business Name): PATRICIA H KUHN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 03/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 MIDDLEVILLE ROAD
NORTHPORT NY
11768
US

IV. Provider business mailing address

79 MIDDLEVILLE RD
NORTHPORT NY
11768-2200
US

V. Phone/Fax

Practice location:
  • Phone: 631-261-4400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number047894
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number047894
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: