Provider Demographics
NPI:1275855868
Name:TURRIGIANO, PHYLLIS A (RPH)
Entity Type:Individual
Prefix:
First Name:PHYLLIS
Middle Name:A
Last Name:TURRIGIANO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:PHYLLIS
Other - Middle Name:A
Other - Last Name:INGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:353 BEACH 149TH ST
Mailing Address - Street 2:
Mailing Address - City:NEPONSIT
Mailing Address - State:NY
Mailing Address - Zip Code:11694-1026
Mailing Address - Country:US
Mailing Address - Phone:718-945-0948
Mailing Address - Fax:
Practice Address - Street 1:353 BEACH 149TH ST
Practice Address - Street 2:
Practice Address - City:NEPONSIT
Practice Address - State:NY
Practice Address - Zip Code:11694-1026
Practice Address - Country:US
Practice Address - Phone:718-945-0948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-23
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041744183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist