Provider Demographics
NPI:1164517645
Name:DANIELE, GREGORY DOMINICK (RPH)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:DOMINICK
Last Name:DANIELE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:GREGORY
Other - Middle Name:DOMINICK
Other - Last Name:DANIELE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:181 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1834
Mailing Address - Country:US
Mailing Address - Phone:914-948-4854
Mailing Address - Fax:
Practice Address - Street 1:2094 ALBANY POST RD
Practice Address - Street 2:VA HUDSON VALLEY HCS PHARMACY
Practice Address - City:MONTROSE
Practice Address - State:NY
Practice Address - Zip Code:10548-1454
Practice Address - Country:US
Practice Address - Phone:914-737-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044913183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist