MEDICARE: MRS. MARIA ANTONIA TAIBO-ARMSTRONG

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	183500000X	Pharmacist	043819	NY

General Provider Information

NPI Number	:	1396913919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIA ANTONIA TAIBO-ARMSTRONG

Provider Business Mailing Address
First Line	:	9511 63RD DR
Second Line	:
City	:	REGO PARK
State	:	NY
Zip	:	11374-2024
Country	:	US
Telephone Number	:	718-897-0803
Fax Number	:	718-897-0804

Provider Business Practice Location Address
First Line	:	9511 63RD DR
Second Line	:
City	:	REGO PARK
State	:	NY
Zip	:	11374-2024
Country	:	US
Telephone Number	:	718-897-0803
Fax Number	:	718-897-0804

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

Provider Enumeration Date	:	02/16/2008
Last Update Date	:	02/16/2008

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