Elizabeth Anne Stanzione
Individual provider Active NPI Pharmacist · Port Ewen, NY
NPI 1174470751 · NPPES record last updated Mar 12, 2026
Key facts
- NPI
- 1174470751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 33237 (NY)
- Practice address
- 177 Broadway
Port Ewen, NY 12466-7719 - Phone
- (845) 339-4129
- NPI assigned
- Mar 12, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33237 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 33237 | NY | Yes |
Addresses
Primary practice location
177 Broadway
Port Ewen, NY 12466-7719
Mailing address
47 Hudson LN
Ulster Park, NY 12487-5404
Other names
- Elizabeth Anne Ciaccio
Other providers in Port Ewen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.