MEDICARE: DR. CATHERINE ARANETA MILLARES-SIPIN PHARM.D, BCPS, BCACP

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	049053-1	NY
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	049053-1	NY
3	1835G0303X	Geriatric Pharmacist	049053-1	NY
4	1835P1200X	Pharmacotherapy Pharmacist	049053-1	NY

General Provider Information

NPI Number	:	1497746333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE ARANETA MILLARES-SIPIN PHARM.D, BCPS, BCACP

Provider Business Mailing Address
First Line	:	133 LYMAN AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-3814
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	230 W 125TH ST
Second Line	:	TOURO COLLEGE OF PHARMACY
City	:	NEW YORK
State	:	NY
Zip	:	10027-4402
Country	:	US
Telephone Number	:	718-604-5342
Fax Number	:	718-604-5342

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

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	02/11/2015

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