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General NPI Number Information
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NPI Number | 1467525535
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Entity Type | Individual
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Provider Name | JOHN MICHAEL CONRY PHARM.D., BCPS
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Gender | Male
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8000 UTOPIA PKWY ST. ALBERT HALL, ROOM 114
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City | JAMAICA
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State | NY
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Zip | 11439-0001
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Country | US
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Telephone | 718-990-2486
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Fax | 718-990-1986
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Provider Business Mailing Address
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Address Line | 1011 GRACE TER
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City | TEANECK
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State | NJ
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Zip | 07666-2622
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Country | US
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Telephone | 718-990-2486
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Fax | 718-990-1986
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 044519
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License Number State | NY
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