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NPI Code Detail

MEDICARE: MRS. ANNEMARIE ELIZABETH PRESTA RPH

MEDICARE: MRS. ANNEMARIE ELIZABETH PRESTA 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
1183500000XPharmacist039614NY

General Provider Information

NPI Number : 1538464243
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNEMARIE ELIZABETH PRESTA RPH
Provider Business Mailing Address
First Line : 43 PRINCETON AVE
Second Line :
City : YONKERS
State : NY
Zip : 10710-3117
Country : US
Telephone Number : 914-793-3766
Fax Number :
Provider Business Practice Location Address
First Line : 1070 SOUTHERN BLVD
Second Line :
City : BRONX
State : NY
Zip : 10459-3268
Country : US
Telephone Number : 718-542-7955
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2011
Last Update Date : 01/12/2011

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