Basic Information
| Provider Information | |||||||||
| NPI: | 1861714883 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PIACQUADIO | ||||||||
| FirstName: | PIETRO | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | R.PH. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 75 NASSAU TERMINAL RD | ||||||||
| Address2: | C/O AVANTI HEALTH CARE SERVICES | ||||||||
| City: | NEW HYDE PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 110404927 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5162801000 | ||||||||
| FaxNumber: | 5162801075 | ||||||||
| Practice Location | |||||||||
| Address1: | 1045 TASKER LN | ||||||||
| Address2: | |||||||||
| City: | GREENPORT | ||||||||
| State: | NY | ||||||||
| PostalCode: | 119441945 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9172174542 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/17/2010 | ||||||||
| LastUpdateDate: | 12/13/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 037543 | NY | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.