Individual
MR. AUGUST LOUIS MAGNANTI JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 ERIE BLVD W, ROME, NY 13440-4803
(315) 337-4120
Mailing address
405 ERIE BLVD. WEST, ROME, NY 13440-5739
(315) 339-1392
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
027910
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00584652
—
NY
Enumeration date
11/12/2007
Last updated
03/12/2010
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