Provider Demographics
NPI:1245398486
Name:LABARBERA-DISPENSA, CAROLANN (RPH,CGP)
Entity Type:Individual
Prefix:MRS
First Name:CAROLANN
Middle Name:
Last Name:LABARBERA-DISPENSA
Suffix:
Gender:F
Credentials:RPH,CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 MOSEMAN ROAD
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598
Mailing Address - Country:US
Mailing Address - Phone:914-245-4222
Mailing Address - Fax:
Practice Address - Street 1:17 JAMES CT
Practice Address - Street 2:
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541-3091
Practice Address - Country:US
Practice Address - Phone:845-208-3328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031777-11835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric