Provider Demographics
NPI:1205152071
Name:CORSO, FRANCIS A (RPH)
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:A
Last Name:CORSO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:FRANK
Other - Middle Name:A
Other - Last Name:CORSO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:31 E RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3607
Mailing Address - Country:US
Mailing Address - Phone:914-666-4148
Mailing Address - Fax:
Practice Address - Street 1:31 E RIDGE LN
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3607
Practice Address - Country:US
Practice Address - Phone:914-666-4148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0269701835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist