Provider Demographics
NPI:1912184599
Name:PIACQUADIO, ANTHONY P (RPH)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:P
Last Name:PIACQUADIO
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 1:4760 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-3002
Mailing Address - Country:US
Mailing Address - Phone:914-738-5814
Mailing Address - Fax:914-712-0957
Practice Address - Street 1:4760 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-3002
Practice Address - Country:US
Practice Address - Phone:914-738-5814
Practice Address - Fax:914-712-0957
Is Sole Proprietor?:No
Enumeration Date:2008-01-26
Last Update Date:2008-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040785183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist