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NPI Code Detail

MEDICARE: MONICA NGO RPH

MEDICARE: MONICA NGO RPH
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
1183500000XPharmacist20 044214NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639494792
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA NGO RPH
Provider Business Mailing Address
First Line : 22404 LINDEN BLVD
Second Line :
City : CAMBRIA HEIGHTS
State : NY
Zip : 11411-1739
Country : US
Telephone Number : 347-548-5250
Fax Number :
Provider Business Practice Location Address
First Line : 22404 LINDEN BLVD
Second Line :
City : CAMBRIA HEIGHTS
State : NY
Zip : 11411-1739
Country : US
Telephone Number : 347-548-5250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2010
Last Update Date : 06/29/2020

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Directions to “ MONICA NGO RPH” Practice Location

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