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NPI Code Detail

MEDICARE: MELANIE M BERENT

MEDICARE: MELANIE M BERENT
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
1183500000XPharmacist048135NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396925202
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE M BERENT
Provider Business Mailing Address
First Line : 3488 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-1337
Country : US
Telephone Number : 716-834-7223
Fax Number : 716-836-1189
Provider Business Practice Location Address
First Line : 3488 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-1337
Country : US
Telephone Number : 716-834-7223
Fax Number : 716-836-1189
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2007
Last Update Date : 02/26/2016

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Directions to “ MELANIE M BERENT ” Practice Location

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