MEDICARE: MR. VINCENT J POSTIGLIONE PHARMACIST

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	21119	NY

General Provider Information

NPI Number	:	1689998569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. VINCENT J POSTIGLIONE PHARMACIST

Provider Business Mailing Address
First Line	:	31 BERKELEY CT
Second Line	:
City	:	TOWNSHIP OF WASHINGTON
State	:	NJ
Zip	:	07676-4349
Country	:	US
Telephone Number	:	201-664-9449
Fax Number	:

Provider Business Practice Location Address
First Line	:	217 E 106TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-4005
Country	:	US
Telephone Number	:	212-534-1939
Fax Number	:

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

Provider Enumeration Date	:	03/21/2010
Last Update Date	:	03/21/2010

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