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Individual

ALEXANDER GIORDANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
21 N MAIN ST, NEWARK VALLEY, NY 13811-2423
(607) 642-3355
Mailing address
197 DEATH VALLEY RD, JOHNSON CITY, NY 13790-4308

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
035404
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01428977
NY
Enumeration date
11/27/2007
Last updated
11/27/2007
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