Healthcare Provider Details

I. General information

NPI: 1649593823
Provider Name (Legal Business Name): PAULA SUE PICCIONE RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2010
Last Update Date: 03/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 SAW MILL RIVER RD
MILLWOOD NY
10546-1139
US

IV. Provider business mailing address

PO BOX 18
MILLWOOD NY
10546-0018
US

V. Phone/Fax

Practice location:
  • Phone: 914-923-9200
  • Fax: 914-923-1111
Mailing address:
  • Phone: 914-923-9200
  • Fax: 914-923-1111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number033841
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: