Individual
MS. THERESA LOUISE PISTORINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH, CGP, BCPS
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-6179
Mailing address
59 RIDGE RD, POUGHKEEPSIE, NY 12603-1716
(845) 486-4109
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
048414
NY
1835P1200X
Pharmacotherapy Pharmacist
Primary
3100790
NY
Other
Enumeration date
12/05/2006
Last updated
01/09/2011
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