Provider Demographics
NPI:1306010301
Name:KANE-LIPARI, DENISE A (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:A
Last Name:KANE-LIPARI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:DENISE
Other - Middle Name:A
Other - Last Name:KANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:3555 VICTORY BLVD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-6764
Mailing Address - Country:US
Mailing Address - Phone:718-477-5483
Mailing Address - Fax:718-477-5480
Practice Address - Street 1:3555 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-6764
Practice Address - Country:US
Practice Address - Phone:718-477-5483
Practice Address - Fax:718-477-5480
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042406183500000X
NJ28RI02292000183500000X
FLPS28505183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist