Healthcare Provider Details

I. General information

NPI: 1629655915
Provider Name (Legal Business Name): VERONICA ANN CONCOLINO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 MIDDLE COUNTRY RD
MIDDLE ISLAND NY
11953-2542
US

IV. Provider business mailing address

750 MIDDLE COUNTRY RD
MIDDLE ISLAND NY
11953-2542
US

V. Phone/Fax

Practice location:
  • Phone: 631-924-0154
  • Fax:
Mailing address:
  • Phone: 631-924-0154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number067392
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: