Provider Demographics
NPI:1467639252
Name:LOKA, AMIR A
Entity Type:Individual
Prefix:
First Name:AMIR
Middle Name:A
Last Name:LOKA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 OLD COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-4512
Mailing Address - Country:US
Mailing Address - Phone:516-333-5131
Mailing Address - Fax:516-333-4323
Practice Address - Street 1:610 OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-4512
Practice Address - Country:US
Practice Address - Phone:516-333-5131
Practice Address - Fax:516-333-4323
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051007-01183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist