Provider Demographics
NPI:1508034547
Name:HUSBANDS, ANTHONY RUDOLPH
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:RUDOLPH
Last Name:HUSBANDS
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 1:132 HALSEY ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-2102
Mailing Address - Country:US
Mailing Address - Phone:917-803-3673
Mailing Address - Fax:
Practice Address - Street 1:411 E 138TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10454-3004
Practice Address - Country:US
Practice Address - Phone:718-401-7900
Practice Address - Fax:718-401-9275
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-12
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044778183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist