Individual
ANGELO FRASIOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
530 W OLD COUNTRY RD, HICKSVILLE, NY 11801-4112
(516) 937-7172
(516) 637-7178
Mailing address
530 W OLD COUNTRY RD, HICKSVILLE, NY 11801-4112
(516) 937-7172
(516) 637-7178
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47148
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02519088
—
NY
Enumeration date
09/18/2008
Last updated
09/18/2008
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