Provider Demographics
NPI:1750559704
Name:SCHLEGELMILCH, ROY GEORGE (RPH)
Entity type:Individual
Prefix:MR
First Name:ROY
Middle Name:GEORGE
Last Name:SCHLEGELMILCH
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 1:337 BROMPTON RD S
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5416
Mailing Address - Country:US
Mailing Address - Phone:516-486-4613
Mailing Address - Fax:
Practice Address - Street 1:60 WALL ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2065
Practice Address - Country:US
Practice Address - Phone:631-421-0134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY27303183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY27303Medicaid