Healthcare Provider Details

I. General information

NPI: 1619702131
Provider Name (Legal Business Name): REBECCA CORIANNE PEDROZO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA CORIANNE SICAT

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2094 ALBANY POST RD
MONTROSE NY
10548-1454
US

IV. Provider business mailing address

2094 ALBANY POST RD
MONTROSE NY
10548-1454
US

V. Phone/Fax

Practice location:
  • Phone: 914-737-4400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number071804
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: