Individual
HEATHER CHRIS PERTOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH., PHARM.D
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
048235
NY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
048235
NY
Other
Enumeration date
03/22/2007
Last updated
03/11/2011
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