Provider Demographics
NPI:1083132674
Name:FIGUEROA, MARCELENE GAIL (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARCELENE
Middle Name:GAIL
Last Name:FIGUEROA
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 1:13 ORIOLE DR
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-5709
Mailing Address - Country:US
Mailing Address - Phone:845-380-4685
Mailing Address - Fax:
Practice Address - Street 1:709 MAIN ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3700
Practice Address - Country:US
Practice Address - Phone:845-471-1190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-02
Last Update Date:2017-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY063391183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist