Individual
DR. ERNESTO ANTHONY AVALLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
3417 200TH ST, BAYSIDE, NY 11361-1137
(718) 229-3655
Mailing address
3417 200TH ST, BAYSIDE, NY 11361-1137
(718) 229-3655
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
036454
NY
1835P1200X
Pharmacotherapy Pharmacist
Primary
036454
NY
1835X0200X
Oncology Pharmacist
036454
NY
Other
Enumeration date
03/06/2007
Last updated
09/11/2025
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