MEDICARE: CHRISTINA A RUTIGLIANO RPH, PHARMD

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
1	1835P1200X	Pharmacotherapy Pharmacist	048772	NY

General Provider Information

NPI Number	:	1306011960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA A RUTIGLIANO RPH, PHARMD

Provider Business Mailing Address
First Line	:	30 MCBRIDE AVE
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10603-3327
Country	:	US
Telephone Number	:	914-381-7273
Fax Number	:	914-848-8741

Provider Business Practice Location Address
First Line	:	30 MCBRIDE AVE
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10603-3327
Country	:	US
Telephone Number	:	914-381-7273
Fax Number	:	914-848-8741

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2008
Last Update Date	:	04/24/2008

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