Healthcare Provider Details

I. General information

NPI: 1831725241
Provider Name (Legal Business Name): DR. ANTHONY P CIOFFI JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2020
Last Update Date: 03/17/2020
Certification Date: 03/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 ALTAMONT AVE
SCHENECTADY NY
12303-1039
US

IV. Provider business mailing address

36 DUTCH MEADOWS DR
COHOES NY
12047-4939
US

V. Phone/Fax

Practice location:
  • Phone: 518-217-5458
  • Fax:
Mailing address:
  • Phone: 518-813-6066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberI065905-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: