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General NPI Number Information
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NPI Number | 1194958710
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Entity Type | Individual
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Provider Name | MICHAEL ADAM SCHIFANO PHARM D
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Gender | Male
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Dates
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Enumeration Date | 08/30/2009
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Last Update Date | 08/30/2009
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Provider Practice Location Address
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Address Line | 863 FAIRMOUNT AVE
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City | JAMESTOWN
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State | NY
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Zip | 14701-2521
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Country | US
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Telephone | 716-484-1586
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Fax |
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Provider Business Mailing Address
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Address Line | 1352 ORR ST
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City | JAMESTOWN
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State | NY
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Zip | 14701-9490
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Country | US
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Telephone | 716-665-1308
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 053678
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License Number State | NY
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