Healthcare Provider Details

I. General information

NPI: 1124138565
Provider Name (Legal Business Name): GERALD FRANCIS STRAMOWSKI SR. RPH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 VETERANS AVE
BATH NY
14810-0810
US

IV. Provider business mailing address

224 PRINCETON AVE
CORNING NY
14830-1733
US

V. Phone/Fax

Practice location:
  • Phone: 607-664-4000
  • Fax:
Mailing address:
  • Phone: 607-962-0491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number026757
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: