Provider Demographics
NPI:1417133968
Name:CENDOMA, DENISE (RPH, PHARMD)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:CENDOMA
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4235 VETERAN DR
Mailing Address - Street 2:
Mailing Address - City:GENESEO
Mailing Address - State:NY
Mailing Address - Zip Code:14454-9433
Mailing Address - Country:US
Mailing Address - Phone:585-243-4080
Mailing Address - Fax:585-243-9655
Practice Address - Street 1:4235 VETERAN DR
Practice Address - Street 2:
Practice Address - City:GENESEO
Practice Address - State:NY
Practice Address - Zip Code:14454-9433
Practice Address - Country:US
Practice Address - Phone:585-243-4080
Practice Address - Fax:585-243-9655
Is Sole Proprietor?:No
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047628183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist