Individual
MR. CHARLES FRANCIS CIVIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
182 SMITH ST, BROOKLYN, NY 11201-6409
(718) 246-4229
Mailing address
182 SMITH ST, BROOKLYN, NY 11201-6409
(718) 246-4229
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028200
NY
183500000X
Pharmacist
028200-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01765008
—
NY
Enumeration date
12/28/2007
Last updated
12/28/2007
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