Provider Demographics
NPI:1679896179
Name:CARBONE, FRANCIS ANTHONY (RPH)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:ANTHONY
Last Name:CARBONE
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 1:1143 MOHAWK STREET
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-1111
Mailing Address - Country:US
Mailing Address - Phone:315-724-1717
Mailing Address - Fax:315-724-0722
Practice Address - Street 1:1143 MOHAWK ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-3709
Practice Address - Country:US
Practice Address - Phone:315-724-1717
Practice Address - Fax:315-724-0722
Is Sole Proprietor?:No
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY24758183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist