Anthony Abbruscato, PHARM.D.
Individual provider Active NPI Pharmacist · North Babylon, NY
NPI 1699164491 · NPPES record last updated Jan 16, 2015
Key facts
- NPI
- 1699164491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 059588 (NY)
- Practice address
- 4 Southwood LN
North Babylon, NY 11703-3609 - Phone
- (631) 793-0762
- NPI assigned
- Jan 16, 2015
- 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 |
|---|---|---|---|
| 059588 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 059588 | NY | Yes |
Addresses
Primary practice location
4 Southwood LN
North Babylon, NY 11703-3609
Mailing address
4 Southwood LN
North Babylon, NY 11703-3609
Phone (631) 793-0762
Other providers in North Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2015. 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.