Provider Demographics
NPI:1871862441
Name:PIACQUADIO, ANTOINETTE M (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANTOINETTE
Middle Name:M
Last Name:PIACQUADIO
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 1:1 TUCKAHOE AVE
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-2924
Mailing Address - Country:US
Mailing Address - Phone:914-771-5640
Mailing Address - Fax:
Practice Address - Street 1:1 TUCKAHOE AVE
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-2924
Practice Address - Country:US
Practice Address - Phone:914-771-5640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-27
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041560183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist