Provider Demographics
NPI:1063840726
Name:CIARAMELLA, CHRISTINE (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:CIARAMELLA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 E 46TH ST
Mailing Address - Street 2:APT 11Q
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-3002
Mailing Address - Country:US
Mailing Address - Phone:908-209-6944
Mailing Address - Fax:
Practice Address - Street 1:310 E 46TH ST
Practice Address - Street 2:APT 11Q
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-3002
Practice Address - Country:US
Practice Address - Phone:908-209-6944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-16
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051297030183500000X
NY0575181835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist