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NPI Code Detail

MEDICARE: MR. ANTHONY PICCIONE BS PHARN

MEDICARE: MR. ANTHONY PICCIONE BS PHARN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist031911NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1031911OTHERNYNYS PHARMACY LICENSE
2308484OTHERNYNABP

General Provider Information

NPI Number : 1245553692
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANTHONY PICCIONE BS PHARN
Provider Business Mailing Address
First Line : 2045 FOREST AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10303-1734
Country : US
Telephone Number : 718-982-8019
Fax Number : 718-982-8026
Provider Business Practice Location Address
First Line : 2045 FOREST AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10303-1734
Country : US
Telephone Number : 718-982-8019
Fax Number : 718-982-8026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2010
Last Update Date : 06/05/2016

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