MEDICARE: MS. ROSEMARY CARUSO

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	30895	NY

General Provider Information

NPI Number	:	1811229313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSEMARY CARUSO

Provider Business Mailing Address
First Line	:	1357 ROUTE 9
Second Line	:	ALPINE COMMONS
City	:	WAPPINGERS FALLS
State	:	NY
Zip	:	12590-4420
Country	:	US
Telephone Number	:	845-298-7284
Fax Number	:	845-298-1447

Provider Business Practice Location Address
First Line	:	1357 ROUTE 9
Second Line	:	ALPINE COMMONS
City	:	WAPPINGERS FALLS
State	:	NY
Zip	:	12590-4420
Country	:	US
Telephone Number	:	845-298-7284
Fax Number	:	845-298-1447

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

Provider Enumeration Date	:	02/08/2010
Last Update Date	:	02/08/2010

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