Provider Demographics
NPI:1194049668
Name:AMATO, JAMES M (RPH)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:AMATO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1721 CROSBY AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-4901
Mailing Address - Country:US
Mailing Address - Phone:718-823-9300
Mailing Address - Fax:718-823-9399
Practice Address - Street 1:1721 CROSBY AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-4901
Practice Address - Country:US
Practice Address - Phone:718-823-9300
Practice Address - Fax:718-823-9399
Is Sole Proprietor?:No
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028177183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist