Healthcare Provider Details

I. General information

NPI: 1497522254
Provider Name (Legal Business Name): REBECCA MARIE ZINNI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2023
Last Update Date: 12/11/2023
Certification Date: 12/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 BECKER RD
WEST HENRIETTA NY
14586-9211
US

IV. Provider business mailing address

45 BECKER RD
WEST HENRIETTA NY
14586-9211
US

V. Phone/Fax

Practice location:
  • Phone: 585-486-4367
  • Fax:
Mailing address:
  • Phone: 585-486-4367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number066309
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: