Healthcare Provider Details

I. General information

NPI: 1316613441
Provider Name (Legal Business Name): JOSEPH HAROLD OSTROFF PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2021
Last Update Date: 08/18/2021
Certification Date: 08/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4060 N BUFFALO ST
ORCHARD PARK NY
14127-2479
US

IV. Provider business mailing address

4060 N BUFFALO ST
ORCHARD PARK NY
14127-2479
US

V. Phone/Fax

Practice location:
  • Phone: 716-662-4401
  • Fax: 716-667-1934
Mailing address:
  • Phone: 716-662-4401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number066728
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: