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NPI Code Detail

MEDICARE: MRS. ELISA E DELIGIANNIS BS

MEDICARE:  MRS. ELISA E DELIGIANNIS  BS
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
1183500000XPharmacist044908NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386813574
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELISA E DELIGIANNIS BS
Provider Business Mailing Address
First Line : 951 ATLANTIC AVE
Second Line :
City : BALDWIN
State : NY
Zip : 11510-4240
Country : US
Telephone Number : 516-223-8392
Fax Number : 516-223-8342
Provider Business Practice Location Address
First Line : 951 ATLANTIC AVE
Second Line :
City : BALDWIN
State : NY
Zip : 11510-4240
Country : US
Telephone Number : 516-223-8392
Fax Number : 516-223-8342
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2008
Last Update Date : 02/21/2008

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