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NPI Code Detail

MEDICARE: ANGELIC DURANTE RPH

MEDICARE: ANGELIC DURANTE 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
1183500000XPharmacist044119NY

General Provider Information

NPI Number : 1649592684
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELIC DURANTE RPH
Provider Business Mailing Address
First Line : 19 FLOWER LN
Second Line :
City : MANHASSET
State : NY
Zip : 11030-3213
Country : US
Telephone Number : 516-627-3430
Fax Number : 718-597-7842
Provider Business Practice Location Address
First Line : 2112 WHITE PLAINS RD
Second Line :
City : BRONX
State : NY
Zip : 10462-1404
Country : US
Telephone Number : 718-597-3000
Fax Number : 718-597-7842
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2010
Last Update Date : 02/18/2010

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