MEDICARE: SABRINA JOSEPH PHARM.D

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	3336C0003X	Community/Retail Pharmacy	072412	NY

General Provider Information

NPI Number	:	1922807114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA JOSEPH PHARM.D

Provider Business Mailing Address
First Line	:	1250 E 85TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-4926
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6002 4TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-4008
Country	:	US
Telephone Number	:	347-889-7200
Fax Number	:

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

Provider Enumeration Date	:	03/10/2025
Last Update Date	:	03/10/2025

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