Healthcare Provider Details

I. General information

NPI: 1669550976
Provider Name (Legal Business Name): RONALD A GIORDANO RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

269 MANSION ST
POUGHKEEPSIE NY
12601-2623
US

IV. Provider business mailing address

11 BOBRICK RD
POUGHKEEPSIE NY
12601-5107
US

V. Phone/Fax

Practice location:
  • Phone: 845-471-6440
  • Fax: 845-471-7258
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number024859
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: