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NPI 1437830320

NPI 1437830320 : DONNA MARIE FORLENZA : YONKERS, NY

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General NPI Number Information
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    NPI Number           |    1437830320
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    Entity Type          |    Individual 
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    Provider Name        |    DONNA MARIE FORLENZA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/25/2023
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    Last Update Date     |    07/25/2023
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Provider Practice Location Address
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    Address Line         |    1915 CENTRAL PARK AVE 
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    City                 |    YONKERS
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    State                |    NY
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    Zip                  |    10710-2949
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    Country              |    US
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    Telephone            |    914-898-9009
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2 IVY LN 
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    City                 |    POMONA
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    State                |    NY
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    Zip                  |    10970-3701
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    Country              |    US
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    Telephone            |    914-656-0948
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    037384
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    License Number State |    NY
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