Provider Demographics
NPI:1275856130
Name:GINSBERG, MORTON (RPH)
Entity Type:Individual
Prefix:MR
First Name:MORTON
Middle Name:
Last Name:GINSBERG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 HAMLET DR
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-3341
Mailing Address - Country:US
Mailing Address - Phone:631-951-4253
Mailing Address - Fax:
Practice Address - Street 1:42 HAMLET DR
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-3341
Practice Address - Country:US
Practice Address - Phone:631-951-4253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023322183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPHARMACY LICENSEOther23322