MEDICARE: MS. CYNTHIA BERNADETTE CERNY RPH

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
1	183500000X	Pharmacist	032394	NY

General Provider Information

NPI Number	:	1841560364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA BERNADETTE CERNY RPH

Provider Business Mailing Address
First Line	:	9425 SHORE RD
Second Line	:	4D
City	:	BROOKLYN
State	:	NY
Zip	:	11209-7259
Country	:	US
Telephone Number	:	347-633-3499
Fax Number	:

Provider Business Practice Location Address
First Line	:	9425 SHORE RD
Second Line	:	4D
City	:	BROOKLYN
State	:	NY
Zip	:	11209-7259
Country	:	US
Telephone Number	:	347-633-3499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2012
Last Update Date	:	01/02/2012

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