Provider Demographics
NPI:1245370758
Name:OSSO-IACONO, ROSSANA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ROSSANA
Middle Name:
Last Name:OSSO-IACONO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 PONDFIELD ROAD
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708
Mailing Address - Country:US
Mailing Address - Phone:914-337-2520
Mailing Address - Fax:914-337-2588
Practice Address - Street 1:80 PONDFIELD ROAD
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708
Practice Address - Country:US
Practice Address - Phone:914-337-2520
Practice Address - Fax:914-337-2588
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050447183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist