Dimitrios A Ilaridis in Staten Island - Pharmacist

Dimitrios A Ilaridis - NPI 1659585909

Dimitrios A Ilaridis is a Pharmacist in Staten Island, New York. Dimitrios A Ilaridis practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Dimitrios A Ilaridis is 1659585909. The last update date is 2007-07-08.

Dimitrios A Ilaridis's current location address is 72 Lortel Ave, Staten Island, New York. You can contact this provider via phone number 7184947683 and fax number 7182380856. The mailing address for Dimitrios A Ilaridis is 72 Lortel Ave, Staten Island, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Dimitrios A Ilaridis
Address 72 Lortel Ave, Staten Island, New York
Phone Number 7184947683
Fax Number 7182380856
Sole Proprietor N
Credentials RPH

NPI Number Detail

NPI Number 1659585909
Provider Enumeration Date 2007-05-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 72 Lortel Ave
City Staten Island
State New York (NY)
Post Code 103145511
Phone Number 7184947683
Fax Number 7182380856

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 39245
Definition:
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m

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FAQs about Dimitrios A Ilaridis

What is the Dimitrios A Ilaridis's unique identification number?

The Dimitrios A Ilaridis has been assigned the NPI (National Provider Identifier) Number 1659585909 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Dimitrios A Ilaridis is geographically located?

The Dimitrios A Ilaridis is physically situated at the following location: 72 Lortel Ave, Staten Island, NY, 103145511.

What is the area of specialization for Dimitrios A Ilaridis, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Dimitrios A Ilaridis is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.

On what date did the Dimitrios A Ilaridis receive the assignment of its 1659585909 from the Centers for Medicare & Medicaid Services?

The Dimitrios A Ilaridis was issued its 1659585909 by the Centers for Medicare & Medicaid Services on 2007-05-09.

When was the information pertaining to Dimitrios A Ilaridis most recently updated or revised?

The details related to Dimitrios A Ilaridis, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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