Provider Demographics
NPI:1487858262
Name:GIORDANO, ANTHONY NICHOLAS (RPH)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:NICHOLAS
Last Name:GIORDANO
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 1:925 HEMPSTEAD TPKE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-3641
Mailing Address - Country:US
Mailing Address - Phone:516-328-7777
Mailing Address - Fax:516-328-7796
Practice Address - Street 1:925 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-3641
Practice Address - Country:US
Practice Address - Phone:516-328-7777
Practice Address - Fax:516-328-7796
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048479183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist