Provider Demographics
NPI:1962798827
Name:SATRIANO, JAMES GERARD
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:GERARD
Last Name:SATRIANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8333 AUSTIN ST
Mailing Address - Street 2:APT 4M
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-1800
Mailing Address - Country:US
Mailing Address - Phone:914-637-1204
Mailing Address - Fax:914-637-1678
Practice Address - Street 1:16 GUION PL
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5502
Practice Address - Country:US
Practice Address - Phone:914-637-1204
Practice Address - Fax:914-637-1678
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028990-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist