Provider Demographics
NPI:1730382771
Name:NAVARRA, JOSEPH P (RPH)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:P
Last Name:NAVARRA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:415 CROSSWAYS PARK DR STE B
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-2055
Mailing Address - Country:US
Mailing Address - Phone:516-249-7436
Mailing Address - Fax:
Practice Address - Street 1:532 BROADHOLLOW RD
Practice Address - Street 2:SUITE 104
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-3672
Practice Address - Country:US
Practice Address - Phone:516-249-7436
Practice Address - Fax:516-249-7437
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041710183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist