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NPI Code Detail

MEDICARE: RUDINA COCOLI

MEDICARE: RUDINA COCOLI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist070170NY

General Provider Information

NPI Number : 1033813910
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUDINA COCOLI
Provider Business Mailing Address
First Line : 18 GRAND ST
Second Line :
City : MAMARONECK
State : NY
Zip : 10543-1560
Country : US
Telephone Number : 347-350-3761
Fax Number :
Provider Business Practice Location Address
First Line : 1333 BOSTON POST RD
Second Line :
City : LARCHMONT
State : NY
Zip : 10538-3903
Country : US
Telephone Number : 914-834-0954
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2023
Last Update Date : 03/27/2023

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Directions to “ RUDINA COCOLI ” Practice Location

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