Provider Demographics
NPI:1588846679
Name:LAPORTA, CHRISTINA M (RPH)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:LAPORTA
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 1:1640 EASTERN PKWY
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12309-6012
Mailing Address - Country:US
Mailing Address - Phone:518-372-0340
Mailing Address - Fax:518-372-0420
Practice Address - Street 1:1640 EASTERN PKWY
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12309-6012
Practice Address - Country:US
Practice Address - Phone:518-372-0340
Practice Address - Fax:518-372-0420
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040153183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist