Healthcare Provider Details

I. General information

NPI: 1346588035
Provider Name (Legal Business Name): LENDITA PRLESI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2013
Last Update Date: 01/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CORPORATE BLVD S
YONKERS NY
10701-6806
US

IV. Provider business mailing address

200 CORPORATE BLVD S
YONKERS NY
10701-6806
US

V. Phone/Fax

Practice location:
  • Phone: 914-378-6208
  • Fax:
Mailing address:
  • Phone: 914-378-6208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number052932
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: