Healthcare Provider Details

I. General information

NPI: 1003962069
Provider Name (Legal Business Name): FRANK J PIACENTI III PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 E 149TH ST
BRONX NY
10451-5504
US

IV. Provider business mailing address

29 WOODGLEN DR
NEW CITY NY
10956-4219
US

V. Phone/Fax

Practice location:
  • Phone: 718-579-5524
  • Fax: 718-579-4621
Mailing address:
  • Phone: 845-323-4210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number049202
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: