PHILIP CHARLES PORTANOVA

COMMACK, NY
NPI1144419771
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NY  027553)
Enumeration Date2007-10-19
Last Update Date2008-09-04
Business Address
Mr. PHILIP CHARLES PORTANOVA B.S.
85 CROOKED HILL RD
COMMACK, NY 11725-5407
Phone number: 631-864-1671
Mailing Address
Mr. PHILIP CHARLES PORTANOVA B.S.
85 CROOKED HILL RD
COMMACK, NY 11725-5407
Phone number: 631-864-1671