Provider Demographics
NPI:1407973209
Name:SCIORTINO, JILL R (RPH)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:R
Last Name:SCIORTINO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 PARTRIDGE HILL CT
Mailing Address - Street 2:
Mailing Address - City:GREAT VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:14741
Mailing Address - Country:US
Mailing Address - Phone:716-353-3119
Mailing Address - Fax:
Practice Address - Street 1:5300 PARTRIDGE HILL
Practice Address - Street 2:
Practice Address - City:GREAT VALLEY
Practice Address - State:NY
Practice Address - Zip Code:14741
Practice Address - Country:US
Practice Address - Phone:716-353-3119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-25
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047615183500000X
TX45912183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist