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NPI Code Detail

MEDICARE: DR. BISHOY LUKA PHARMD, BCNSP

MEDICARE: DR. BISHOY LUKA PHARMD, BCNSP
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
1183500000XPharmacist20049079NY
21835G0303XGeriatric Pharmacist20049079NY
31835N1003XNutrition Support Pharmacist20049079NY
41835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist20049079NY
51835P1200XPharmacotherapy Pharmacist20049079NY

General Provider Information

NPI Number : 1326270653
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BISHOY LUKA PHARMD, BCNSP
Provider Business Mailing Address
First Line : 6214 24TH AVE STE PH4
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-3319
Country : US
Telephone Number : 347-987-1546
Fax Number :
Provider Business Practice Location Address
First Line : 6214 24TH AVE STE PH4
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-3319
Country : US
Telephone Number : 347-987-1546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2009
Last Update Date : 08/20/2009

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