=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811219207
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MONICA M DOYLE R.PH.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/25/2010
-----------------------------------------------------
Last Update Date | 02/25/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4246 ALBANY POST RD SUITE 2
-----------------------------------------------------
City | HYDE PARK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12538-1700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-229-2224
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14 BEADART PL
-----------------------------------------------------
City | HYDE PARK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12538-1218
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-229-1043
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 32699
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------