Amendolara, Dominic Gerard

Amendolara, Dominic Gerard is an individual health care provider with primary practice located at 14919 Union Tpke , Flushing NY 11367-3849. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Amendolara, Dominic Gerard can be contacted via phone (718) 380-5440.

Contact Information

Primary practice address
14919 Union Tpke Flushing NY 11367-3849
Phone: (718) 380-5440
Fax: (718) 380-3028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 038649 New York

Profile Details

NPI number 1558404145
LBN Legal business name Amendolara, Dominic Gerard
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558404145 NPPES
New York Other 038649 NYS RPH LIC NUMBER

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