Provider Demographics
NPI:1639566813
Name:GIOVANNIELLO, ANGELA GANDOLFA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:GANDOLFA
Last Name:GIOVANNIELLO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 E 161ST ST
Mailing Address - Street 2:CHCC- MONTEFIORE MEDICAL GROUP
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-3535
Mailing Address - Country:US
Mailing Address - Phone:718-410-3559
Mailing Address - Fax:718-579-2599
Practice Address - Street 1:305 E 161ST ST
Practice Address - Street 2:CHCC- MONTEFIORE MEDICAL GROUP
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-3535
Practice Address - Country:US
Practice Address - Phone:718-410-3559
Practice Address - Fax:718-579-2599
Is Sole Proprietor?:No
Enumeration Date:2015-04-25
Last Update Date:2015-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046237-11835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist