Provider Demographics
NPI:1700285459
Name:AQUINO, DEAN PATRICK H (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DEAN PATRICK
Middle Name:H
Last Name:AQUINO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16124 99TH ST
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-3819
Mailing Address - Country:US
Mailing Address - Phone:718-641-2802
Mailing Address - Fax:
Practice Address - Street 1:87 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4452
Practice Address - Country:US
Practice Address - Phone:212-693-6688
Practice Address - Fax:212-693-6677
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI058915-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist