Provider Demographics
NPI:1235312398
Name:LABATE, JOSEPH JAMES (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:JAMES
Last Name:LABATE
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 1:103 N CAROLINE ST
Mailing Address - Street 2:
Mailing Address - City:HERKIMER
Mailing Address - State:NY
Mailing Address - Zip Code:13350-1716
Mailing Address - Country:US
Mailing Address - Phone:315-717-0219
Mailing Address - Fax:315-717-0225
Practice Address - Street 1:103 N CAROLINE ST
Practice Address - Street 2:
Practice Address - City:HERKIMER
Practice Address - State:NY
Practice Address - Zip Code:13350-1716
Practice Address - Country:US
Practice Address - Phone:315-717-0219
Practice Address - Fax:315-717-0225
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-12
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031778183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist