Provider Demographics
NPI:1811175094
Name:FIORENZA, SILVANO (RPH)
Entity type:Individual
Prefix:MR
First Name:SILVANO
Middle Name:
Last Name:FIORENZA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:SILVANO
Other - Middle Name:
Other - Last Name:FIORENZA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:1938 LURTING AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1306
Mailing Address - Country:US
Mailing Address - Phone:718-597-5361
Mailing Address - Fax:
Practice Address - Street 1:1720 EASTCHESTER RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2322
Practice Address - Country:US
Practice Address - Phone:718-823-6185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-10
Last Update Date:2008-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032475183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY032475OtherNY LICENSE #