Healthcare Provider Details

I. General information

NPI: 1295058725
Provider Name (Legal Business Name): SYNDEE BETH OKANE RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2010
Last Update Date: 03/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 HEMPSTEAD AVE
WEST HEMPSTEAD NY
11552-2700
US

IV. Provider business mailing address

867 MIDWOOD DR
NORTH BELLMORE NY
11710-1407
US

V. Phone/Fax

Practice location:
  • Phone: 516-292-6161
  • Fax:
Mailing address:
  • Phone: 516-804-8153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number44499
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: