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NPI Code Detail

MEDICARE: MARIA A LEGATOSPHILLIPS PHARMD

MEDICARE: MARIA A LEGATOSPHILLIPS PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist039594NY

General Provider Information

NPI Number : 1255003505
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA A LEGATOSPHILLIPS PHARMD
Provider Business Mailing Address
First Line : 7 SHADY MEADOW LN
Second Line :
City : SYOSSET
State : NY
Zip : 11791-2416
Country : US
Telephone Number : 516-496-0173
Fax Number :
Provider Business Practice Location Address
First Line : 124 E JERICHO TPKE
Second Line :
City : HUNTINGTON STATION
State : NY
Zip : 11746-7324
Country : US
Telephone Number : 631-760-3272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2021
Last Update Date : 10/04/2021

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Directions to “ MARIA A LEGATOSPHILLIPS PHARMD” Practice Location

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