Individual
ALBERT L. DIDONNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
177 BROADWAY, PORT EWEN, NY 12466
(845) 331-4229
Mailing address
204 WINDSOR DR, HURLEY, NY 12443-5326
(845) 331-9075
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
025469-1
NY
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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