Provider Demographics
NPI:1588987044
Name:DELLA RATTA, DANIEL (RPH)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:DELLA RATTA
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 1:183 HESTER ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4780
Mailing Address - Country:US
Mailing Address - Phone:212-226-8971
Mailing Address - Fax:212-226-1633
Practice Address - Street 1:179 GRAND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-3762
Practice Address - Country:US
Practice Address - Phone:212-226-8971
Practice Address - Fax:212-226-1633
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036705183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist