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NPI Code Detail

MEDICARE: MARIESA GISO

MEDICARE: MARIESA GISO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist046910NY

General Provider Information

NPI Number : 1407021298
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIESA GISO
Provider Business Mailing Address
First Line : 1400 ALTAMONT AVE
Second Line :
City : SCHENECTADY
State : NY
Zip : 12303-2909
Country : US
Telephone Number : 518-356-1131
Fax Number : 518-356-0373
Provider Business Practice Location Address
First Line : 1400 ALTAMONT AVE
Second Line :
City : SCHENECTADY
State : NY
Zip : 12303-2909
Country : US
Telephone Number : 518-356-1131
Fax Number : 518-356-0373
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2008
Last Update Date : 04/23/2008

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Directions to “ MARIESA GISO ” Practice Location

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