Alberto Harry Ambizas, BS PHARM, PHARM.D.
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Northport, NY
NPI 1497869044 · NPPES record last updated Jun 23, 2011
Key facts
- NPI
- 1497869044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 045421 (NY)
- Practice address
- 79 Middleville Rd
Northport, NY 11768-2200 - Phone
- (631) 261-4400
- Fax
- (631) 266-6023
- NPI assigned
- Aug 19, 2006
- 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
- Bachelor of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045421 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 045421 | NY | Yes |
Addresses
Primary practice location
79 Middleville Rd
Northport, NY 11768-2200
Mailing address
79 Middleville Rd
Northport, NY 11768-2200
Phone (631) 261-4400
Other providers in Northport, NY
- Bisma Fatima Ali
- Tazkira Ali
- Asma Saeed Alizai
- Germaine Cyla Allison
- Laurie Alonso
- Cara Amcher
- Mohammad Mostafa Amin
- Shahira Mohammad Mostafa Amin
- Daler Aminov
- Thomas P. Amorillo
All providers in Northport, NY · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 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 Jun 23, 2011. 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.