Provider Demographics
NPI:1194075515
Name:AMIN, ANKUR B (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANKUR
Middle Name:B
Last Name:AMIN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
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Mailing Address - Street 1:1 FITZGERALD DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-3059
Mailing Address - Country:US
Mailing Address - Phone:845-343-2930
Mailing Address - Fax:845-342-6898
Practice Address - Street 1:1 FITZGERALD DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-3059
Practice Address - Country:US
Practice Address - Phone:845-343-2930
Practice Address - Fax:845-342-6898
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2024-11-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY057338183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist