Individual
AMY NICOLE UNGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 HENRY ST, PHARMACY T-1387, COMMACK, NY 11725-5423
(631) 462-5463
Mailing address
24 WOODSTORK DR, MOUNT SINAI, NY 11766-3400
(631) 521-7041
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
048304-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02691734
—
NY
Enumeration date
02/11/2008
Last updated
02/11/2008
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