Individual
DR. ANGELO RUPERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
79 CRESCENT CREEK WAY, SELKIRK, NY 12158-1259
(518) 439-5284
Mailing address
79 CRESCENT CREEK WAY, SELKIRK, NY 12158-1259
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36219
NY
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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