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NPI Code Detail

MEDICARE: ROBERT PINKHASOV

MEDICARE: ROBERT PINKHASOV
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
1183500000XPharmacist064617NY

General Provider Information

NPI Number : 1861976722
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT PINKHASOV
Provider Business Mailing Address
First Line : 2325 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-4529
Country : US
Telephone Number : 718-951-0518
Fax Number :
Provider Business Practice Location Address
First Line : 2325 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-4529
Country : US
Telephone Number : 718-951-0518
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2018
Last Update Date : 02/11/2022

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