Healthcare Provider Details

I. General information

NPI: 1235246711
Provider Name (Legal Business Name): FRANKLIN S CIOFALO RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 POLY PL PHARMACY-119
BROOKLYN NY
11209-7104
US

IV. Provider business mailing address

229 TITUS AVE
STATEN ISLAND NY
10306-4707
US

V. Phone/Fax

Practice location:
  • Phone: 718-836-6600
  • Fax:
Mailing address:
  • Phone: 718-979-5492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number026840-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: