Mona Anastazie Cichello, R.PH.
Individual provider Active NPI Pharmacist · Stuyvesant, NY
NPI 1821313347 · NPPES record last updated Mar 29, 2010
Key facts
- NPI
- 1821313347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 35335 (NY)
- Practice address
- 36 Gypsy Rock Rd
Stuyvesant, NY 12173-2904 - Phone
- (518) 799-2146
- Fax
- (518) 799-2106
- NPI assigned
- Mar 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35335 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 35335 | NY | Yes |
Addresses
Primary practice location
36 Gypsy Rock Rd
Stuyvesant, NY 12173-2904
Mailing address
36 Gypsy Rock Rd
Stuyvesant, NY 12173-2904
Phone (518) 799-2146
Other providers in Stuyvesant, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.