Provider Demographics
NPI:1144400045
Name:BELLANTONI, STEVEN M (RPH)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:BELLANTONI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 SMITH CROSSING RD
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-6235
Mailing Address - Country:US
Mailing Address - Phone:845-462-4506
Mailing Address - Fax:
Practice Address - Street 1:654 MAIN ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3704
Practice Address - Country:US
Practice Address - Phone:845-485-5065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035983-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist