Ernesto Anthony Avallone, PHARM.D
Individual provider Active NPI Pharmacotherapy Pharmacist · Bayside, NY
NPI 1487784609 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1487784609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacotherapy Pharmacist 1835P1200X
- License
- 036454 (NY)
- Practice address
- 3417 200TH St
Bayside, NY 11361-1137 - Phone
- (718) 229-3655
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036454 | NY | MD | Pharmacotherapy Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 036454 | NY | |
| Pharmacotherapy Pharmacist | 1835P1200X | 036454 | NY | Yes |
| Oncology Pharmacist | 1835X0200X | 036454 | NY |
Addresses
Primary practice location
3417 200TH St
Bayside, NY 11361-1137
Mailing address
3417 200TH St
Bayside, NY 11361-1137
Phone (718) 229-3655
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All providers in Bayside, NY · Pharmacotherapy Pharmacist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.