Healthcare Provider Details

I. General information

NPI: 1639493018
Provider Name (Legal Business Name): JOANN MARIE CABAN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2010
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1490 US HIGHWAY 9
WAPPINGERS FALLS NY
12590-4901
US

IV. Provider business mailing address

1490 US HIGHWAY 9
WAPPINGERS FALLS NY
12590-4901
US

V. Phone/Fax

Practice location:
  • Phone: 845-297-8352
  • Fax:
Mailing address:
  • Phone: 845-297-8352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number048421
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number048421-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: