MEDICARE: MR. DONALD JAMES CANTALINO 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
1	183500000X	Pharmacist	035137	NY

General Provider Information

NPI Number	:	1659363695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DONALD JAMES CANTALINO RPH

Provider Business Mailing Address
First Line	:	275 WOODLAND DR
Second Line	:
City	:	BRIGHTWATERS
State	:	NY
Zip	:	11718-1920
Country	:	US
Telephone Number	:	631-666-8181
Fax Number	:	631-666-4555

Provider Business Practice Location Address
First Line	:	546 UNIONDALE AVE
Second Line	:
City	:	UNIONDALE
State	:	NY
Zip	:	11553-2202
Country	:	US
Telephone Number	:	516-486-4333
Fax Number	:	516-486-0464

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	07/08/2007

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