Provider Demographics
NPI:1508189085
Name:BARELL, MITCHELL (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:MITCHELL
Middle Name:
Last Name:BARELL
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-7465
Mailing Address - Country:US
Mailing Address - Phone:212-475-1144
Mailing Address - Fax:212-777-1032
Practice Address - Street 1:250 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7465
Practice Address - Country:US
Practice Address - Phone:212-475-1144
Practice Address - Fax:212-777-1032
Is Sole Proprietor?:No
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031485-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist