Provider Demographics
NPI:1548445323
Name:LOTITO, CHRISTOPHER JAMES (RPH)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:LOTITO
Suffix:
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 1:645 ROSSVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-1717
Mailing Address - Country:US
Mailing Address - Phone:718-967-2955
Mailing Address - Fax:718-967-2978
Practice Address - Street 1:645 ROSSVILLE AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-1717
Practice Address - Country:US
Practice Address - Phone:718-967-2955
Practice Address - Fax:718-967-2978
Is Sole Proprietor?:No
Enumeration Date:2007-12-30
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist