Provider Demographics
NPI:1538330576
Name:MAGLIULO, DIANNA CHRISTINA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:DIANNA
Middle Name:CHRISTINA
Last Name:MAGLIULO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 HIGHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SELDEN
Mailing Address - State:NY
Mailing Address - Zip Code:11784-2717
Mailing Address - Country:US
Mailing Address - Phone:631-846-3188
Mailing Address - Fax:
Practice Address - Street 1:655 MIDDLE COUNTRY RD
Practice Address - Street 2:
Practice Address - City:SELDEN
Practice Address - State:NY
Practice Address - Zip Code:11784-2520
Practice Address - Country:US
Practice Address - Phone:631-451-6849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051958183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist