Mir Akbar

Individual provider Active NPI Pharmacist · Mount Vernon, NY

NPI 1770765760 · NPPES record last updated Nov 30, 2007

Key facts

NPI
1770765760
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
031127 (NY)
Practice address
47 E Prospect Ave
Mount Vernon, NY 10550-2225
Phone
(914) 667-0400
NPI assigned
Nov 30, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
031127NYMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 031127 NY Yes

Addresses

Primary practice location

47 E Prospect Ave
Mount Vernon, NY 10550-2225

Mailing address

21 Maple Moor LN
Cortlandt MNR, NY 10567-6419

Other providers in Mount Vernon, NY

All providers in Mount Vernon, NY · Pharmacist in New York

Sources for this page

Verify at the official NPI Registry.