Individual
MR. MILAN MICHAEL SIVACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
998 CROOKED HILL RD, BRENTWOOD, NY 11717-1019
(631) 761-2295
(631) 761-2298
Mailing address
84 STOOTHOFF RD, EAST NORTHPORT, NY 11731-3920
(631) 368-3341
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
029340
NY
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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