Provider Demographics
NPI:1174704787
Name:PIAMPIANO, MICHAEL CARMINE (PHARM D CIP)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CARMINE
Last Name:PIAMPIANO
Suffix:
Gender:M
Credentials:PHARM D CIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 LARKFIELD RD STE A
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-4208
Mailing Address - Country:US
Mailing Address - Phone:631-266-3999
Mailing Address - Fax:631-266-3726
Practice Address - Street 1:1968 VETERANS HWY
Practice Address - Street 2:
Practice Address - City:ISLANDIA
Practice Address - State:NY
Practice Address - Zip Code:11749-1514
Practice Address - Country:US
Practice Address - Phone:631-234-9417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052124183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist