Provider Demographics
NPI:1528248721
Name:ATTANASEO, JOSEPH P JR (RPH)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:P
Last Name:ATTANASEO
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-3501
Mailing Address - Country:US
Mailing Address - Phone:518-393-4549
Mailing Address - Fax:518-377-3547
Practice Address - Street 1:1203 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-3501
Practice Address - Country:US
Practice Address - Phone:518-393-4549
Practice Address - Fax:518-377-3547
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024714-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist