MEDICARE: MR. JOSEPH J LIGUORI B.S. PHCY

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
1	183500000X	Pharmacist	020099	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	020099	OTHER	NY	NEW YORK STATE DOH

General Provider Information

NPI Number	:	1578731519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH J LIGUORI B.S. PHCY

Provider Business Mailing Address
First Line	:	90 CURTIS PL
Second Line	:
City	:	LYNBROOK
State	:	NY
Zip	:	11563-2037
Country	:	US
Telephone Number	:	516-599-9148
Fax Number	:

Provider Business Practice Location Address
First Line	:	492 ATLANTIC AVE
Second Line	:
City	:	EAST ROCKAWAY
State	:	NY
Zip	:	11518-1517
Country	:	US
Telephone Number	:	516-599-2233
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2008
Last Update Date	:	12/21/2025

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