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NPI Code Detail

MEDICARE: HEALTHCARE RESOURCES, LLC

MEDICARE: HEALTHCARE RESOURCES, LLC
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
1183500000XPharmacist041166-1NY

General Provider Information

NPI Number : 1578554077
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHCARE RESOURCES, LLC
Provider Business Mailing Address
First Line : 1225 FRANKLIN AVE
Second Line : SUITE NUMBER 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 NUMBER 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 : PRESIDENT/R.PH.
Name : MRS. SOTIRIA AMIGDALOS
Credential : R.PH.
Telephone Number : 516-512-8958
Provider Enumeration Date : 11/02/2005
Last Update Date : 08/22/2020

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Directions to “HEALTHCARE RESOURCES, LLC ” Practice Location

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