Provider Demographics
NPI:1780057620
Name:GIORDANO, SARA
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:GIORDANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7608 OSWEGO RD STE 21
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13090-2948
Mailing Address - Country:US
Mailing Address - Phone:315-652-6584
Mailing Address - Fax:
Practice Address - Street 1:7608 OSWEGO RD
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13090-2900
Practice Address - Country:US
Practice Address - Phone:315-652-6584
Practice Address - Fax:315-622-5622
Is Sole Proprietor?:No
Enumeration Date:2015-10-31
Last Update Date:2015-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054524183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist