Healthcare Provider Details

I. General information

NPI: 1174792550
Provider Name (Legal Business Name): MR. FRANK M PIACENTE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/29/2008
Last Update Date: 02/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 E MAIN ST
FRANKFORT NY
13340-1133
US

IV. Provider business mailing address

133 E MAIN ST
FRANKFORT NY
13340-1133
US

V. Phone/Fax

Practice location:
  • Phone: 315-895-4009
  • Fax: 315-895-7604
Mailing address:
  • Phone: 315-895-4009
  • Fax: 315-895-7604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number028323
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: