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NPI Code Detail

MEDICARE: DR. MICHELLE PASCIOLLA PHARMD

MEDICARE: DR. MICHELLE PASCIOLLA PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist061182NY
21835X0200XOncology Pharmacist061182NY

General Provider Information

NPI Number : 1295396877
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE PASCIOLLA PHARMD
Provider Business Mailing Address
First Line : 350 E 91ST ST APT 9
Second Line :
City : NEW YORK
State : NY
Zip : 10128-6005
Country : US
Telephone Number : 914-438-5890
Fax Number :
Provider Business Practice Location Address
First Line : 525 E 68TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10065-4870
Country : US
Telephone Number : 212-746-5454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2019
Last Update Date : 06/25/2019

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