Provider Demographics
NPI:1902047178
Name:AMBROSINI, MARIA TERESA (BS,PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:MARIA TERESA
Middle Name:
Last Name:AMBROSINI
Suffix:
Gender:F
Credentials:BS,PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:BREEZY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11697-1123
Mailing Address - Country:US
Mailing Address - Phone:347-605-0358
Mailing Address - Fax:
Practice Address - Street 1:39 W MARKET ST
Practice Address - Street 2:
Practice Address - City:BREEZY POINT
Practice Address - State:NY
Practice Address - Zip Code:11697-1123
Practice Address - Country:US
Practice Address - Phone:347-605-0358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038087T1835P0018X
NY0399891835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist