Provider Demographics
NPI:1336461003
Name:SIGNORE, DONATO (RPH)
Entity Type:Individual
Prefix:MR
First Name:DONATO
Middle Name:
Last Name:SIGNORE
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 1:619 E 187TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-6706
Mailing Address - Country:US
Mailing Address - Phone:718-365-8630
Mailing Address - Fax:718-365-0267
Practice Address - Street 1:619 E 187TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-6706
Practice Address - Country:US
Practice Address - Phone:718-365-8630
Practice Address - Fax:718-365-0267
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044626183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist