Mark A Brodsky, RPH
Pharmacist in Long Beach, NY. Individual provider (NPI-1).
NPI number1255532016
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1255532016
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark A Brodsky
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 30, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 037737 | NY | Yes |
Practice location
790 Park PlaceLong Beach, NY 11561
Phone 516-536-0800
Mailing address
324 Buchanan AveStaten Island, NY 10314-4101
Phone 718-698-4746
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