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NPI Code Detail

MEDICARE: SERENA BETH RESSLER RPH

MEDICARE:   SERENA BETH RESSLER  RPH
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
1183500000XPharmacist004925NY

General Provider Information

NPI Number : 1306318811
Entity Type Code : Individual
Provider Name (Legal Business Name) : SERENA BETH RESSLER RPH
Provider Business Mailing Address
First Line : 3026 RIVERSIDE DR
Second Line :
City : WANTAGH
State : NY
Zip : 11793-4640
Country : US
Telephone Number : 516-729-4678
Fax Number :
Provider Business Practice Location Address
First Line : 125 MICHAEL DR
Second Line :
City : SYOSSET
State : NY
Zip : 11791-5311
Country : US
Telephone Number : 877-780-0066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2018
Last Update Date : 12/21/2018

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Directions to “ SERENA BETH RESSLER RPH” Practice Location

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