Provider Demographics
NPI:1700108008
Name:FORLENZA, PHILIP (PHARMD)
Entity type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:
Last Name:FORLENZA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4166 WHITE PLAINS RD.
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-3020
Mailing Address - Country:US
Mailing Address - Phone:718-925-4114
Mailing Address - Fax:718-925-4112
Practice Address - Street 1:4166 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-3020
Practice Address - Country:US
Practice Address - Phone:718-925-4114
Practice Address - Fax:718-925-4112
Is Sole Proprietor?:No
Enumeration Date:2010-02-27
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0374721835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist