Provider Demographics
NPI:1396754941
Name:SEDA, ALBERTO (RPH)
Entity type:Individual
Prefix:
First Name:ALBERTO
Middle Name:
Last Name:SEDA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 PELHAM PKWY S
Mailing Address - Street 2:APT 6-J
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1112
Mailing Address - Country:US
Mailing Address - Phone:917-327-6200
Mailing Address - Fax:718-653-1283
Practice Address - Street 1:655 E 233RD ST
Practice Address - Street 2:BSF PRESCRIPTION PHARMACY
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-2865
Practice Address - Country:US
Practice Address - Phone:718-547-7750
Practice Address - Fax:718-653-1283
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY36229183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist