Healthcare Provider Details

I. General information

NPI: 1306019351
Provider Name (Legal Business Name): MR. HARVEY SAVOY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2008
Last Update Date: 04/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3199 LONG BEACH RD
OCEANSIDE NY
11572-4107
US

IV. Provider business mailing address

2723 ALDRED AVE
OCEANSIDE NY
11572-1203
US

V. Phone/Fax

Practice location:
  • Phone: 516-766-7200
  • Fax:
Mailing address:
  • Phone: 516-526-7885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number022562
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: