Provider Demographics
NPI:1174846190
Name:FRANK, GELSOMINA BASILONE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:GELSOMINA
Middle Name:BASILONE
Last Name:FRANK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 335
Mailing Address - Street 2:2540 ROUTE 55
Mailing Address - City:POUGHQUAG
Mailing Address - State:NY
Mailing Address - Zip Code:12570-0335
Mailing Address - Country:US
Mailing Address - Phone:845-724-3200
Mailing Address - Fax:845-724-3767
Practice Address - Street 1:2540 ROUTE 55
Practice Address - Street 2:BOX 335
Practice Address - City:POUGHQUAG
Practice Address - State:NY
Practice Address - Zip Code:12570-5115
Practice Address - Country:US
Practice Address - Phone:845-724-3200
Practice Address - Fax:845-724-3767
Is Sole Proprietor?:No
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042162-11835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy