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NPI Code Detail

MEDICARE: MS. SOTIRIA AMIGDALOS R.PH.

MEDICARE:  MS. SOTIRIA  AMIGDALOS  R.PH.
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
11835G0303XGeriatric Pharmacist041166-1NY

General Provider Information

NPI Number : 1265587547
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SOTIRIA AMIGDALOS R.PH.
Provider Business Mailing Address
First Line : 1225 FRANKLIN AVE
Second Line : SUITE 325
City : GARDEN CITY
State : NY
Zip : 11530-1691
Country : US
Telephone Number : 516-512-8958
Fax Number : 516-908-4353
Provider Business Practice Location Address
First Line : 1225 FRANKLIN AVE
Second Line : SUITE 325
City : GARDEN CITY
State : NY
Zip : 11530-1691
Country : US
Telephone Number : 516-512-8958
Fax Number : 516-908-4353
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 07/08/2007

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Directions to “ MS. SOTIRIA AMIGDALOS R.PH.” Practice Location

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