=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083937668
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MADDALENA PECINI PHARM.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/10/2010
-----------------------------------------------------
Last Update Date | 03/25/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 845 PALMER AVE
-----------------------------------------------------
City | MAMARONECK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10543-2406
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-864-5191
-----------------------------------------------------
Fax | 914-864-9195
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 845 PALMER AVE
-----------------------------------------------------
City | MAMARONECK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10543-2406
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-864-5191
-----------------------------------------------------
Fax | 914-864-9195
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 037150-1
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------