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NPI Code Detail

MEDICARE: MR. JOSEPH DOMINICK MACALUSO RPH.

MEDICARE: MR. JOSEPH DOMINICK MACALUSO RPH.
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
1183500000XPharmacist047816NY

General Provider Information

NPI Number : 1407081847
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH DOMINICK MACALUSO RPH.
Provider Business Mailing Address
First Line : 1441 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-1553
Country : US
Telephone Number : 718-698-2632
Fax Number :
Provider Business Practice Location Address
First Line : 1441 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-1553
Country : US
Telephone Number : 718-698-2632
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2009
Last Update Date : 06/02/2009

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