Provider Demographics
NPI:1235310228
Name:HIRSHFIELD, JOANNE SLATER (RPH, MBA, CGP)
Entity type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:SLATER
Last Name:HIRSHFIELD
Suffix:
Gender:F
Credentials:RPH, MBA, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6767 PECK RD
Mailing Address - Street 2:
Mailing Address - City:DEANSBORO
Mailing Address - State:NY
Mailing Address - Zip Code:13328-1011
Mailing Address - Country:US
Mailing Address - Phone:315-796-6868
Mailing Address - Fax:315-841-3416
Practice Address - Street 1:6767 PECK RD
Practice Address - Street 2:
Practice Address - City:DEANSBORO
Practice Address - State:NY
Practice Address - Zip Code:13328-1011
Practice Address - Country:US
Practice Address - Phone:315-796-6868
Practice Address - Fax:315-841-3416
Is Sole Proprietor?:No
Enumeration Date:2007-11-18
Last Update Date:2007-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028490183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist