Provider Demographics
NPI:1366607319
Name:FERRARO, DANIEL GREGORY (BS IN PHARM)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:GREGORY
Last Name:FERRARO
Suffix:
Gender:M
Credentials:BS IN PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 FRIENDLY LN
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-2331
Mailing Address - Country:US
Mailing Address - Phone:516-938-7553
Mailing Address - Fax:718-459-0912
Practice Address - Street 1:6320 99TH ST
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-1941
Practice Address - Country:US
Practice Address - Phone:718-459-0911
Practice Address - Fax:718-459-0912
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024829183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist