Provider Demographics
NPI:1588848121
Name:CORRADO, ARTHUR PHILIP (RPH)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:PHILIP
Last Name:CORRADO
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 1:38 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:10925-2234
Mailing Address - Country:US
Mailing Address - Phone:845-477-3614
Mailing Address - Fax:
Practice Address - Street 1:153 ROUTE 94 S STE 2
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-3647
Practice Address - Country:US
Practice Address - Phone:845-987-1555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY37076183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist