MEDICARE: ANTHONY CHARLES MANGIARACINA R.PH

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	049319	NY

General Provider Information

NPI Number	:	1538481015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY CHARLES MANGIARACINA R.PH

Provider Business Mailing Address
First Line	:	973 MCLEAN AVE
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10704-4108
Country	:	US
Telephone Number	:	914-237-8821
Fax Number	:	914-237-0716

Provider Business Practice Location Address
First Line	:	973 MCLEAN AVE
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10704-4108
Country	:	US
Telephone Number	:	914-237-8821
Fax Number	:	914-237-0716

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

Provider Enumeration Date	:	02/24/2010
Last Update Date	:	08/23/2022

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