Healthcare Provider Details

I. General information

NPI: 1932214673
Provider Name (Legal Business Name): WILLIAM JAMES LEMOROCCO PHARMACIST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 NESCONSET HWY SUITE 3A
STONYBROOK NY
11790
US

IV. Provider business mailing address

6 ROY DRIVE
NESCONSET NY
11767
US

V. Phone/Fax

Practice location:
  • Phone: 631-751-4477
  • Fax: 631-751-4962
Mailing address:
  • Phone: 631-656-1579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number36133
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: